Individual provider Active NPI

Tara Herrmann, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1053814780
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20695 Issued in MN
Practice address
7101 York Ave S Ste 317
Edina, MN 55435-4469
Phone
(763) 703-4215
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306272 MN
Clinical Social Worker 1041C0700X 20695 MN Primary

Addresses

Primary practice location

7101 York Ave S Ste 317
Edina, MN 55435-4469

Mailing address

5457 Horizon Dr NE
Fridley, MN 55421-1156
Phone (218) 298-0689

Other identifiers 1

IdentifierTypeStateIssuer
1053814780OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240827003856 MN Practitioner - Clinical Social Worker 4789123381 Reassigns benefits to 4 organizations
I20250620001419 TX Practitioner - Clinical Social Worker 4789123381 Reassigns benefits to 2 organizations
I20251119002450 DC Practitioner - Clinical Social Worker 4789123381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

445 Minnesota St
Suite 1500
Saint Paul, MN 55101-2269
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306272MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Stacia Hanson Ma LP LLC CurrentSince Aug 1, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Tara Herrmann LLC Clinical CurrentSince Sep 21, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 15, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

7101 York Ave S
Ste 317
Minneapolis, MN 55435
Phone (763) 703-4207

1197 Grand Ave
Saint Paul, MN 55105
Phone (763) 703-4215

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 6

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": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1053814780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 HORIZON DR NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554211156",
            "telephone_number": "218-298-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 317",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354469",
            "telephone_number": "763-703-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "TARA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053814780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.