Individual provider Active NPI

Tierra Harp, LCSW

  • Clinical Social Worker
  • McDonough, GA
National Provider Identifier
1073223491
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007838 Issued in GA
Practice address
117 Emporia Loop
McDonough, GA 30253-6842
Phone
(770) 853-6963
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW007838 GA Primary

Addresses

Primary practice location

117 Emporia Loop
McDonough, GA 30253-6842

Mailing address

117 Emporia Loop
McDonough, GA 30253-6842
Phone (770) 853-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical LLC Single Specialty Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 16, 2023 Accepting new patients

Locations

702 SW 8th St
Bentonville, AR 72716

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542

125 Pavilion Pkwy
Ste A
Fayetteville, GA 30214
Phone (770) 719-0932

137 Willow LN
McDonough, GA 30253
Phone (470) 483-0409

Organizations & group practices 2

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1073223491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EMPORIA LOOP",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536842",
            "telephone_number": "770-853-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EMPORIA LOOP",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536842",
            "telephone_number": "770-853-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARP",
        "first_name": "TIERRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.