Individual provider Active NPI

Taija Horne, LCSW

  • Social Worker
  • Fort Benning, GA
National Provider Identifier
1295450997
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103396 Issued in TX
Practice address
6600 Van Aalst Blvd BLDG 9250
Fort Benning, GA 31905-2102
Phone
(682) 359-6155
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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 103396 TX Primary

Addresses

Primary practice location

6600 Van Aalst Blvd BLDG 9250
Fort Benning, GA 31905-2102

Mailing address

6260 Old Bethel Rd Apt 9105
Crestview, FL 32536-5617
Phone (682) 359-6155

Other practice location 1

6260 Old Bethel Rd Apt 9105
Crestview, FL 32536-5617
Phone (682) 359-6155

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231219000108 TX Practitioner - Clinical Social Worker 9234589136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103396TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Brave Fight, LLC CurrentSince Sep 6, 2023 Accepting new patients

Locations

1 N Walnut St
Ste 15
Cleburne, TX 76033
Phone (817) 381-6991

505 Pecan St
Ste 102
Fort Worth, TX 76102
Phone (817) 381-6991

500 E 4th St
Ste 250
Fort Worth, TX 76102
Phone (817) 381-6991

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1295450997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 OLD BETHEL RD APT 9105",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365617",
            "telephone_number": "682-359-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD BLDG 9250",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "682-359-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6260 Old Bethel Rd Apt 9105",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325365617",
            "country_code": "US",
            "telephone_number": "682-359-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "TAIJA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "103396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

Verify at the official NPI Registry.