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

Tara Waltman, LICSW

Individual provider Clinical Social Worker · NPI 1356637151

Tara Waltman, LICSW is a Clinical Social Worker in Lancaster, Pennsylvania. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

812 N Prince St
Lancaster, PA 17603-2732
Phone: (612) 709-1042
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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 19291 (MN)

Record details

NPI number1356637151
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESNovember 14, 2019
Mailing address812 N Prince St, Lancaster, PA 17603-2732

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