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

Tara Whitecotton, LCSW

Individual provider Clinical Social Worker · NPI 1063394674

Tara Whitecotton, LCSW is a Clinical Social Worker in Poplar Grove, 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

108 Pembroke Rd SW
Poplar Grove, IL 61065-9267
Phone: (573) 263-4987
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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 149029547 (IL)

Record details

NPI number1063394674
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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