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

Tara K. Stack, MSW, LCSW-C

Individual provider Clinical Social Worker · NPI 1417354523

Tara K. Stack, MSW, LCSW-C is a Clinical Social Worker in Bowie, Maryland. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois and Maryland.

Licensed in
IL, MD
In the registry since
2014
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone: (415) 424-4266
Fax: (415) 520-6633
Show map & directions

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

Additional practice locations (2)

  • 111 W Jackson Blvd Ste 1700, Chicago, IL 60604-3597 — (415) 424-4266
  • 11202 Kent Ct, New Market, MD 21774-6274 — (301) 606-7595

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 19551 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.028059 (IL)

Record details

NPI number1417354523
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW-C
Sole proprietorYes
NPI enumeratedDecember 4, 2014
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address8300 Esters Blvd Ste 900, Irving, TX 75063-2233

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