Active NPI
Tarmara Eukera Holder, LCSW CAADC
- Clinical Social Worker
- Dublin, GA
National Provider Identifier
1427459155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005217
- Practice address
- 749 Pointe West Loop
Dublin, GA 31021-0912 - Phone
- (478) 697-1983
- Fax
- (478) 296-2110
- NPI assigned
- Sep 12, 2014
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW005217 | GA | |
| Professional Counselor | 101YP2500X | CSW005217 | GA | |
| Behavior Analyst | 103K00000X | CSW005217 | GA | |
| Clinical Social Worker | 1041C0700X | CSW005217 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | CSW005217 | GA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSW005217 | GA |
Addresses
Primary practice location
749 Pointe West Loop
Dublin, GA 31021-0912
Mailing address
749 Pointe West Loop
Dublin, GA 31021-0912
Phone (478) 697-1983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005217 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
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": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1427459155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 POINTE WEST LOOP",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310210912",
"telephone_number": "478-697-1983",
"fax_number": "478-296-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 POINTE WEST LOOP",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310210912",
"telephone_number": "478-697-1983",
"fax_number": "478-296-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "TARMARA",
"middle_name": "EUKERA",
"credential": "LCSW CAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "CSW005217",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "CSW005217",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "CSW005217",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005217",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "CSW005217",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "CSW005217",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.