Alex Tarasar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34430 Issued in MN

Practice address

1675 Beam Ave Ste 101
Maplewood, MN 55109-1478

Phone

(651) 309-0200

NPI assigned

Sep 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Inner Outer Therapy Group, PLLC

  • Massage Therapist
  • Shoreline, WA
  • NPI 1083492326
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1346962859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19004 12TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981552243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BEAM AVE STE 101",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091478",
            "telephone_number": "651-309-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASAR",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61567836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Douglas Syverson, PHARM.D.
• Lindsey Kay Syverson, RD
• Amos Szajner
• Kayley L Szondy, RD, LDN
• Byle Tan
• Tareen Dermatology, PA
• Sophie Teague, MS, LADC, LPCC
• Rachael Teece, DPT
• Tenacity Living LLC
• Emily Terhune-Wold

• Clinical Social Worker in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.