Individual provider Active NPI

Tye' GC Strong, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1518537711
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027561 Issued in IL
Practice address
5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone
(314) 469-4908
NPI assigned
Jun 29, 2021
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2022027144 MO
Social Worker 104100000X 150.109933 IL
Clinical Social Worker 1041C0700X 149.027561 IL Primary

Addresses

Primary practice location

5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078

Mailing address

5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone (314) 469-4908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.109933ILMDSocial Worker
149.027561ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
Behavioral Health Response, Inc Counselor CurrentSince Jul 9, 2023 Accepting new patients
County of Lake CurrentSince Dec 16, 2024 Accepting new patients
County of Lake CurrentSince Dec 16, 2024 Accepting new patients

Locations

24647 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 377-7842

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

3010 Grand Ave
#3002
Waukegan, IL 60085

5501 Delmar Blvd
Ste B300
Saint Louis, MO 63112
Phone (314) 469-4908

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1518537711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123078",
            "telephone_number": "314-469-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123078",
            "telephone_number": "314-469-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "TYE'",
        "middle_name": "GC",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2022027144",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.109933",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.