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

Tara Sheppard, LCSW

Individual provider Clinical Social Worker · NPI 1053298307

Tara Sheppard, LCSW is a Clinical Social Worker in Waukegan, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
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

415 Washington St Ste 216S
Waukegan, IL 60085-5564
Phone: (773) 991-3983
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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 149019428 (IL)

Record details

NPI number1053298307
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 4, 2025
Mailing address38 Burnett Ave, Lake Villa, IL 60046-9004

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