Tamu Shamille McKinney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31934 Issued in TX

Practice address

808 Bandelier LN
Mansfield, TX 76063-4114

Phone

(817) 681-5110

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment Care Compare group NPD
• James E, Williams

  dba Metropolitan Center for Counseling &Psychotherapy

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1275640807
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1346556701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BANDELIER LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634114",
            "telephone_number": "817-681-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BANDELIER LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634114",
            "telephone_number": "817-681-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "TAMU",
        "middle_name": "SHAMILLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia McGrew, LPC
• Slovakia McGruder
• Michael G McInnis, MD
• Landria Nicole McIntyre, WHNP
• Jerry Lamont McKenzie, M.D.
• Patrick McLean, OTR, CHT
• Michelle Gay McMillan, MS, LPC
• Jamye McMillin
• MDC 14 Partners, LLC (Liberty Dialysis - Mansfield)
• Koren Candace Meacham, MSN, NNP-BC

• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, 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 May 4, 2017; 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.