Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARA ANN WICKELGREN
NPI 1013707199
Social Worker - Clinical in Greenville, TX

Active since May 12, 2025
4901 JEFFERSON ST, GREENVILLE, TX 75401(507) 525-5988 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 9, 2026, May 12, 2025 (2 updates tracked since 2025).

About Tara Ann Wickelgren NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA ANN WICKELGREN (NPI 1013707199) is an individual clinical provider in Greenville, Texas, licensed in Minnesota (24464) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1013707199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA ANN WICKELGREN
Location Address4901 JEFFERSON STGreenville, TX 75401-2834
Mailing Address4901 Jefferson StGreenville, TX 75401-2834
Sole ProprietorNo
Enumeration DateMay 12, 2025
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1013707199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MN · 24464✔ Licensed in TX · 120655
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4901 JEFFERSON ST, Greenville, TX 75401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Wickelgren's NPI number?

The NPI number for Tara Wickelgren is 1013707199. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Tara Wickelgren located?

Tara Wickelgren practices at 4901 Jefferson St, Greenville, TX 75401. The listed phone number is (507) 525-5988.

What is Tara Wickelgren's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tara Wickelgren was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.