Active NPI
Tara Ann S Loud, LCSW-S
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1407542715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17406
- Practice address
- 1378 Beaujolais LN
Houston, TX 77077-3114 - Phone
- (713) 647-1208
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17406 | TX | Primary |
Addresses
Primary practice location
1378 Beaujolais LN
Houston, TX 77077-3114
Mailing address
1378 Beaujolais LN
Houston, TX 77077-3114
Phone (713) 647-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17406 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1407542715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1378 BEAUJOLAIS LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770773114",
"telephone_number": "713-647-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1378 BEAUJOLAIS LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770773114",
"telephone_number": "713-647-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUD",
"first_name": "TARA ANN",
"middle_name": "S",
"credential": "LCSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "17406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.