Sovereign T Farm

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOVEREIGN T FARM

Practice address

799 County Road 706
Buna, TX 77612-2543

Phone

(409) 673-6516

NPI assigned

Mar 9, 2026

Organization subpart

No

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

Authorized official

Name

Paula Renee Tacker, LCSWNPI 1386328565

Title

Owner

Phone

(409) 673-6516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula Renee Tacker, LMSW

  • Clinical Social Worker
  • Buna, TX
  • NPI 1386328565
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1447106802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 COUNTY ROAD 706",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776122543",
            "telephone_number": "409-673-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 COUNTY ROAD 706",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776122543",
            "telephone_number": "409-673-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN T FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-08",
        "status": "A",
        "authorized_official_last_name": "TACKER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-673-6516",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
• Gayle A Pugh
• Darby Reed, LPA
• Ceaetta Harris Renfro
• Resilient Minds PLLC
• Paula Renee Tacker, LMSW
• Bob K Wynn, M.D.
• Harris Achidi Yango, PHARMD

• Clinical Social Worker in Buna, TX
• Providers in Buna, 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 Mar 9, 2026; 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.