Individual provider Active NPI

Tatiana Felicia Mejia-Smith, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1558852103
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58492 Issued in TX
Practice address
4019 Woodland Park Blvd Ste 113
Arlington, TX 76013-4468
Phone
(682) 206-8691
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 58492 TX Primary

Addresses

Primary practice location

4019 Woodland Park Blvd Ste 113
Arlington, TX 76013-4468

Mailing address

6100 Verandas Cir Apt 822
Fort Worth, TX 76132-4165
Phone (817) 229-5627

Other names 1

  • Tatiana Felicia Mejia Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58492TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1558852103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 VERANDAS CIR APT 822",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324165",
            "telephone_number": "817-229-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 WOODLAND PARK BLVD STE 113",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134468",
            "telephone_number": "682-206-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-SMITH",
        "first_name": "TATIANA",
        "middle_name": "FELICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "MEJIA",
            "middle_name": "FELICIA",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.