Provider Demographics
NPI:1457173411
Name:SWARTZ, TARA LORRAINE (LMSW, CSW-I)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:LORRAINE
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LMSW, CSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5540
Mailing Address - Country:US
Mailing Address - Phone:775-220-0697
Mailing Address - Fax:
Practice Address - Street 1:150 COUNTRY ESTATES CIR STE 105
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4017
Practice Address - Country:US
Practice Address - Phone:775-544-6966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5897-M1041S0200X
NVIC-24001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool