Individual provider Active NPI

Tara Noelle Tappe, LICSW

  • Clinical Social Worker
  • New Hope, MN
National Provider Identifier
1003402231
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27497 Issued in MN
Practice address
9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019
Phone
(763) 225-4052
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27497 MN Primary

Addresses

Primary practice location

9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019

Mailing address

7625 Metro Blvd Ste 200
Edina, MN 55439-3079
Phone (952) 945-4092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223002921 MN Practitioner - Clinical Social Worker 4082029178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America MN/Wi CurrentSince Feb 12, 2021 Accepting new patients
Volunteers of America MN/Wi CurrentSince Feb 12, 2021 Accepting new patients

Locations

7625 Metro Blvd
Ste 200
Minneapolis, MN 55439
Phone (952) 945-4092

9220 Bass Lake Rd
Ste 255
New Hope, MN 55428
Phone (763) 225-4052

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1003402231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 METRO BLVD STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393079",
            "telephone_number": "952-945-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 255",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283019",
            "telephone_number": "763-225-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPPE",
        "first_name": "TARA",
        "middle_name": "NOELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.