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

Tara M Bauman, LADCLGSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649311150

Tara M Bauman, LADCLGSW is a Clinical Social Worker in Minnetonka, Minnesota. Qualified in 2006, 20 years ago. Practices with Innovative Psychological Consultants, LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
20
Licensed in
MN
In the registry since
2007
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Practice location Address checks out

15320 Minnetonka Blvd #200
Minnetonka, MN 55345
Phone: (952) 932-7277
Fax: (952) 932-9827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 302123 (MN)

Record details

NPI number1649311150
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADCLGSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Innovative Psychological Consultants, Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Minnetonka