Individual provider Active NPI

Tina H Rovaris, LCSW

  • Clinical Social Worker
  • McKinney, TX
National Provider Identifier
1417669292
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66224 Issued in TX
Practice address
300 E Davis St Ste 134
McKinney, TX 75069-4588
Phone
(972) 632-7015
Fax
(844) 402-0972
NPI assigned
Dec 23, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66224 TX Primary

Addresses

Primary practice location

300 E Davis St Ste 134
McKinney, TX 75069-4588

Mailing address

300 E Davis St Ste 134
McKinney, TX 75069-4588
Phone (972) 632-7015

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL charmbehavioral.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
66224TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1417669292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DAVIS ST STE 134",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694588",
            "telephone_number": "972-632-7015",
            "fax_number": "844-402-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DAVIS ST STE 134",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694588",
            "telephone_number": "972-632-7015",
            "fax_number": "844-402-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVARIS",
        "first_name": "TINA",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "charmbehavioral.com",
            "affiliation": "N",
            "address_1": "300 E Davis St Ste 134",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750694588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.