Provider Demographics
NPI:1376690040
Name:BARNARD, TARA ANN (LICSW, MSW, CDP)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:ANN
Last Name:BARNARD
Suffix:
Gender:F
Credentials:LICSW, MSW, CDP
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:A
Other - Last Name:CROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-5127
Mailing Address - Country:US
Mailing Address - Phone:360-454-1953
Mailing Address - Fax:425-252-4441
Practice Address - Street 1:2901 174TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-4743
Practice Address - Country:US
Practice Address - Phone:360-454-1953
Practice Address - Fax:425-252-4441
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00006385101YA0400X
WALW602961101041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical