Individual provider Active NPI

Tyler-Marie Blacher, LMSW

  • Social Worker
  • Memphis, TN
National Provider Identifier
1083351050
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW0000013270 Issued in TN
Practice address
4821 American Way Ste 315
Memphis, TN 38118-2454
Phone
(901) 515-6367
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW0000013270 TN Primary

Addresses

Primary practice location

4821 American Way Ste 315
Memphis, TN 38118-2454

Mailing address

2670 Welchlawn St
Memphis, TN 38134-4410

Other practice location 1

3540 S Mendenhall Rd
Memphis, TN 38115-4512
Phone (901) 310-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000013270TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denovo Clinical Strategies, LLC Social Worker CurrentSince Nov 20, 2022 Accepting new patients

Locations

4821 American Way
Ste 315
Memphis, TN 38118
Phone (901) 334-6948

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1083351050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 WELCHLAWN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381344410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 AMERICAN WAY STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182454",
            "telephone_number": "901-515-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 S Mendenhall Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381154512",
            "country_code": "US",
            "telephone_number": "901-310-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACHER",
        "first_name": "TYLER-MARIE",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000013270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.