Tara Herrmann, LICSW
NPI 1053814780ActiveIndividual· Social Worker, Clinical· Edina, MN
Social Worker, Clinical (LICSW) with Sondermind PA and 1 other group, practicing in Edina, Minnesota. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1053814780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Mar 8, 2018 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 20695 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 306272 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (DC); Practitioner - Clinical Social Worker (MN); Practitioner - Clinical Social Worker (TX) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Sondermind PAKalamazoo, MI · 79 clinicians
- Stacia Hanson Ma LP LLCEdina, MN · 11 clinicians
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All 161 clinical social workers in Edina · All clinical social workers in Minnesota