Individual provider Active NPI

Tamara Joy Irons, L.C.S.W.

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1467617530
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4959-C Issued in NV
Practice address
5420 W Sahara Ave Ste 102-6
Las Vegas, NV 89146-0394
Phone
(702) 907-6043
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 6231 FL
Clinical Social Worker 1041C0700X 4959-C NV Primary

Addresses

Primary practice location

5420 W Sahara Ave Ste 102-6
Las Vegas, NV 89146-0394

Mailing address

8414 Farm Rd Ste 180
Las Vegas, NV 89131-8171
Phone (702) 695-0757

Other practice location 1

9800 W Commercial Blvd
Tamarac, FL 33351-4325
Phone (786) 368-9396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606002238 FL Practitioner - Clinical Social Worker 7416137138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center of Revitalizing Psychiatry, P.C.Group PAC ID 0648239988, 39 clinicians

Practice addresses (Care Compare)

2033 Wood St
Suite 220
Sarasota, FL 34237-7927
Phone (941) 677-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6231FLMDClinical Social Worker
4959-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Revitalizing Psychiatry, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Healing Arts Institute LLC Clinical Current Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Jun 1, 2024 Accepting new patients
Ellie Mental Health of Estero PastSince Aug 14, 2022 Accepting new patients

Locations

2033 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 677-3366

340 W Passaic St
Ste 1
Rochelle Park, NJ 07662
Phone (201) 488-5161

8414 Farm Rd
Ste 180
Las Vegas, NV 89131
Phone (702) 546-9600

Organizations & group practices 4

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1467617530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 FARM RD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318171",
            "telephone_number": "702-695-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W SAHARA AVE STE 102-6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460394",
            "telephone_number": "702-907-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 W Commercial Blvd",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333514325",
            "country_code": "US",
            "telephone_number": "786-368-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRONS",
        "first_name": "TAMARA",
        "middle_name": "JOY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6231",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4959-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.