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

Individual provider Clinical Social Worker · NPI 1790555621

Tara Higginbotham Rouse, LCSW is a Clinical Social Worker in Virginia Beach, Virginia. Qualified in 2017, 9 years ago. Practices with SE Virginia Value Based Care LLC, a 156-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3145 Virginia Beach Blvd Ste 108
Virginia Beach, VA 23452-6950
Phone: (804) 385-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904016142 (VA)

Record details

NPI number1790555621
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Se Virginia Value Based Care Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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