Individual provider Active NPI

Tara D. Krueger, MSW, LCSW

  • Clinical Social Worker
  • Quincy, IL
National Provider Identifier
1154547453
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012584 Issued in IL
Practice address
3800 E Lake Ctr Ste 100
Quincy, IL 62305-5839
Phone
(217) 577-2097
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2008037177 MO
Clinical Social Worker 1041C0700X 149.012584 IL Primary

Addresses

Primary practice location

3800 E Lake Ctr Ste 100
Quincy, IL 62305-5839

Mailing address

1507 Curtis Creek Rd
Quincy, IL 62301-6329
Phone (217) 577-2097

Other practice location 1

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

Other practice location 2

2001 Maine St
Quincy, IL 62301-4345
Phone (217) 577-2097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140623000584 IL Practitioner - Clinical Social Worker 2668696238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 Maine St
Suite 101
Quincy, IL 62301-4345
Phone (217) 577-2097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012584ILMDClinical Social Worker
2008037177MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TK Therapy Solutions PLLC Clinical CurrentSince Jan 11, 2021 Accepting new patients

Locations

2001 Maine St
Ste 101
Quincy, IL 62301
Phone (217) 577-2097

2001 Maine St
Quincy, IL 62301
Phone (217) 577-2097

3800 E Lake Ctr
Ste 100
Quincy, IL 62305
Phone (217) 214-7222

Organizations & group practices 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1154547453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 CURTIS CREEK RD",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016329",
            "telephone_number": "217-577-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E LAKE CTR STE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055839",
            "telephone_number": "217-577-2097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Maine St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623014038",
            "country_code": "US",
            "telephone_number": "217-222-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Maine St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623014345",
            "country_code": "US",
            "telephone_number": "217-577-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "TARA",
        "middle_name": "D.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008037177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.