White, Tara

White, Tara is an sole proprietor health care provider with primary practice located at 6268 E Riverside Blvd , Loves Park IL 61111-4418. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Tara can be contacted via phone (815) 397-2224.

Contact Information

Primary practice address
6268 E Riverside Blvd Loves Park IL 61111-4418
Phone: (815) 397-2224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.014295 Illinois

Profile Details

NPI number 1194111567
LBN Legal business name White, Tara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2015
Last updated Dec 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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