Melba Rose Tatum, LCSW, LCDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13694 Issued in TX

Practice address

1002 E Stadium Dr
Rosenberg, TX 77471-2579

Phone

(281) 762-8383

Fax

(281) 762-8355

NPI assigned

Sep 24, 2007

Reactivated

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melba Rose Tatum Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Clearhope Counseling and Wellness Center, PC

  • Counselor
  • Pasadena, TX
  • NPI 1821587452

  Clinical

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TX

  Medicare reassignment NPD
• Memorial Hermann Community Benefit Corporation

  • Primary Care Clinic/Center
  • Rosenberg, TX
  • NPI 1740799980
  NPD
• Memorial Hermann Community Benefit Corporation

  • Primary Care Clinic/Center
  • Rosenberg, TX
  • NPI 1154830172
  NPD (past)
• Uhs BH Telepsych FL, PLLC

  • Psychiatry Physician
  • Ponte Vedra Beach, FL
  • NPI 1790453033

  Clinical

  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1275729212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WEST SHADOWBEND AVE. SUITE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "77546",
            "telephone_number": "832-577-8901",
            "fax_number": "281-332-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E STADIUM DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712579",
            "telephone_number": "281-762-8383",
            "fax_number": "281-762-8355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 West Shadowbend Ave Suite 100",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "77546",
            "country_code": "US",
            "telephone_number": "832-577-8901",
            "fax_number": "281-332-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Avenue N",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "774715652",
            "country_code": "US",
            "telephone_number": "281-238-0852",
            "fax_number": "281-238-0865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM",
        "first_name": "MELBA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "deactivation_date": "2022-10-25",
        "reactivation_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "13694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELBA",
            "last_name": "TATUM",
            "middle_name": "ROSE",
            "credential": "LCSW, LCDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Swift Care Transport
• Taleio Incorporated
• Farah Talib, DMD
• Talk to Me Texas LLC
• May W. Tape, D.D.S.
• Ciera Taylor, LCSW
• Erin Elizabeth Taylor, LCSW
• Jamie Taylor, LPC
• Telaclinic
• Taylor Terrazas-Haywood, LMT

• Clinical Social Worker in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.