1. Home
  2. Directory
  3. Minnesota
  4. Saint Cloud
  5. Social Worker
  6. NPI Profile

MRS. TARA M PROM LICSW
NPI 1205338969
Social Worker - Clinical in Saint Cloud, MN

Active since March 08, 2018
22 WILSON AVE NE SUITE 110, PO BOX 6069, SAINT CLOUD, MN 56302(320) 251-7700(320) 251-8898 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tara M Prom Licsw NPPES

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

MRS. TARA M PROM LICSW (NPI 1205338969) is an individual clinical provider in Saint Cloud, Minnesota, licensed in Minnesota (17338) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1205338969
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TARA M PROMCredential: LICSW
Location Address22 WILSON AVE NE SUITE 110, PO BOX 6069Saint Cloud, MN 56302-6069
Mailing Address1114 Somerset BlvdSaint Cloud, MN 56303-0750 · (320) 266-0241
Phone(320) 251-7700
Fax(320) 251-8898
Sole ProprietorNo
Enumeration DateMarch 8, 2018
✔ NPI 1205338969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 17338
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.
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 429597 (MN)
22 WILSON AVE NE SUITE 110, Saint Cloud, MN 56302
Open in Google Maps ↗

Other Names 1

Former Name (1)Tara M Schloe

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 Prom's NPI number?

The NPI number for Tara Prom is 1205338969. It was assigned to this individual provider in the NPPES registry on March 8, 2018. The provider is also known as Tara M Schloe.

Where is Tara Prom located?

Tara Prom practices at 22 Wilson Ave NE Suite 110 PO Box 6069, Saint Cloud, MN 56302. The listed phone number is (320) 251-7700.

What is Tara Prom'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 Prom was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.