Individual provider Active NPI

Tiara Watford, LCSW

  • Clinical Social Worker
  • Ahoskie, NC
National Provider Identifier
1487050126
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009008 Issued in NC
Practice address
211 North St W
Ahoskie, NC 27910-3036
Phone
(252) 455-8710
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 P009008 NC Primary

Addresses

Primary practice location

211 North St W
Ahoskie, NC 27910-3036

Mailing address

327 Moore Town Rd S
Ahoskie, NC 27910-9770
Phone (252) 455-8710

Other practice location 1

1015 Eden Way N
Chesapeake, VA 23320-2787
Phone (757) 609-2726

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
P009008NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired to Grow, LLC Clinical Current Accepting new patients
Polished Pearls Counseling and Coaching Services PLLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1487050126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MOORE TOWN RD S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279109770",
            "telephone_number": "252-455-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NORTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103036",
            "telephone_number": "252-455-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Eden Way N",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202787",
            "country_code": "US",
            "telephone_number": "757-609-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATFORD",
        "first_name": "TIARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.