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

Tara Bodlak

Individual provider Clinical Social Worker · NPI 1255945408

Tara Bodlak is a Clinical Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

1022 S 51st St Ste 200
Phoenix, AZ 85004-2133
Phone: (402) 553-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20933 (AZ)

Record details

NPI number1255945408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 26, 2023

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