Tailor Made Therapeutic Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TAILOR MADE THERAPEUTIC SERVICES LLC

Practice address

312 Sharon CT
Middletown, OH 45042-4947

Phone

(513) 433-4388

Fax

(513) 217-1161

NPI assigned

May 23, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tia Monique Hale, LISW-SNPI 1114470242

Title

Owner

Phone

(513) 433-4388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tia Hale, LISW-S

  • Clinical Social Worker
  • Wright Patterson AFB, OH
  • NPI 1114470242
  Medicare reassignment Care Compare group NPD Authorized official
• Keshawna Marie Pitts, MSN,RN,APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, OH
  • NPI 1164190062
  Medicare reassignment Care Compare group NPD
• Brittany Noelle Campbell, LISW

  • Clinical Social Worker
  • Lebanon, OH
  • NPI 1427609338
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1376235762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SHARON CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424947",
            "telephone_number": "513-433-4388",
            "fax_number": "513-217-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SHARON CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424947",
            "telephone_number": "513-433-4388",
            "fax_number": "513-217-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILOR MADE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-433-4388",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joi Lynn Swartz, LPN
• Charles Joseph Sweeney, PT
• Laura Jean Swope, M.ED., BCBA
• Yasamean Tadayon
• Dustin Taggart, AG-ACNP-BC
• Talbert House Health Center (Centerpoint Health)
• Talbert House Health Center (Centerpoint Health)
• Talbert House Health Center (Centerpoint Health)
• Latosha Tallon
• Kimberly Tamaska

• Clinical Social Worker in Middletown, OH
• Providers in Middletown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.