Tyler Glenn Staverman, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

014094 Issued in NC

Practice address

151 N Steele St
Sanford, NC 27330-3966

Phone

(919) 292-2614

Fax

(919) 964-3374

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meaningful Minds Counseling, PLLCGroup PAC ID 9830564970, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meaningful Minds Counseling, PLLC

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1013516251
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1144994237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 HUNTSMAN TRL",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275978513",
            "telephone_number": "919-721-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N STEELE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303966",
            "telephone_number": "919-292-2614",
            "fax_number": "919-964-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVERMAN",
        "first_name": "TYLER",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "014094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Daniel Stanaland II, PHARMD, MSCR, MBA
• Beth P Stanfield, FNP
• Dawn Marie Stanley, M.D.
• Larissa Rachelle Stanley, D.D.S.
• Hannah Stapleton, PTA
• Christopher Stephens
• Rhi Anna Lynn Stephens, LMFT
• Sarah Stephens
• Stevens Center
• David Chadwick Stinson, DMD

• Clinical Social Worker in Sanford, NC
• Providers in Sanford, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.