Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tazelaar Psychotherapy Services LLC

Organization Clinical Social Worker · NPI 1811286594

Tazelaar Psychotherapy Services LLC provides Clinical Social Worker services in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1595 Selby Ave
Saint Paul, MN 55104-6221 Not confirmed with CMS for 11 years — call before visiting
Phone: (651) 699-6480
Fax: (651) 699-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9454 (MN)

Record details

NPI number1811286594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Tazelaar — Owner · (651) 699-6480
NPI enumeratedApril 1, 2011
Last updated in NPPESMarch 25, 2015
Mailing address232 Snelling Ave S, Saint Paul, MN 55105-1944

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