Tamela Renee Clary, LMSW
Individual provider Active NPI Social Worker · Flint, TX
NPI 1225851983 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1225851983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 64776 (TX)
- Practice address
- 10740 County Road 169
Flint, TX 75762-9412 - Phone
- (903) 241-3640
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64776 | TX | MD | Critical Care Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 64776 | TX | Yes |
Addresses
Primary practice location
10740 County Road 169
Flint, TX 75762-9412
Mailing address
10740 County Road 169
Flint, TX 75762-9412
Phone (903) 241-3640
Other providers in Flint, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.