Individual provider Active NPI

Shara Kay Duggins-Reed, LCSW

  • Clinical Social Worker
  • Tyler, TX
National Provider Identifier
1497823223
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31403 Issued in TX
Practice address
1800 Shiloh Road Suite 101
Tyler, TX 75703-4623
Phone
(903) 780-5861
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 31403 TX
Clinical Social Worker 1041C0700X 31403 TX Primary

Addresses

Primary practice location

1800 Shiloh Road Suite 101
Tyler, TX 75703-4623

Mailing address

PO Box 1561
Kilgore, TX 75663-1561
Phone (903) 780-5861

Other names 1

  • Shara Kay Reed Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040428001068 TX Practitioner - Clinical Social Worker 6204823578 Reassigns benefits to 1 organization
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Aug 25, 2017 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Aug 25, 2017 Accepting new patients
East Texas Center for Independent Living Past Accepting new patients
East Texas Mental Health Associates Clinical Past Accepting new patients
Joyce Foreman Shayler Past Accepting new patients
Andrews Center -Pinkerton Social Worker Past Accepting new patients

Locations

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

Organizations & group practices 6

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1497823223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1561",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756631561",
            "telephone_number": "903-780-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SHILOH ROAD SUITE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034623",
            "telephone_number": "903-780-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGINS-REED",
        "first_name": "SHARA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "31403",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARA",
            "last_name": "REED",
            "middle_name": "KAY",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.