Tara McRae Lorenz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW5476 Issued in ND

Practice address

1500 14TH St W Ste 290
Williston, ND 58801-4078

Phone

(701) 334-6242

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tara C McRae Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Empowered Therapy by Tara Lorenz, PLLC

  • Clinical Social Worker
  • Watford City, ND
  • NPI 1619518412
  NPD Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831459106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LAKE ST",
            "city": "NEW SALEM",
            "state": "ND",
            "postal_code": "585634101",
            "telephone_number": "707-530-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 290",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014078",
            "telephone_number": "701-334-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Laws Ave",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954826540",
            "country_code": "US",
            "telephone_number": "707-468-1010",
            "fax_number": "707-468-0793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "TARA",
        "middle_name": "MCRAE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW62900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "LICSW5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MCRAE",
            "middle_name": "C",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Live in Motion Physical Therapy Specialists, PLLC
• Sarah Lock
• Ashley Loeffler
• Anthony Long
• Michelle A Long
• Joe-Ann Lourens, MD
• Debra J. Lukenbill, NP
• Rae Ann Lundy, MSSW
• Karen M. Luther, L.S.W.
• Michelle Lux

• Clinical Social Worker in Williston, ND
• Providers in Williston, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.