Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Wittrock

Individual provider Clinical Social Worker · NPI 1255949459

Tamara Wittrock is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor and works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1616 W Lake St, Minneapolis, MN 55408-2549 — (612) 712-6232
  • 2055 White Bear Ave N Ste 125, Saint Paul, MN 55109-3721 — (651) 528-1130

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29848 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255949459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2020
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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