Individual provider Active NPI

Tyara Barge, LCSW

  • Clinical Social Worker
  • Eagle Lake, TX
National Provider Identifier
1568071264
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37609 Issued in TX
Practice address
600 S Austin Rd
Eagle Lake, TX 77434-3202
Phone
(979) 234-5571
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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 37609 TX Primary

Addresses

Primary practice location

600 S Austin Rd
Eagle Lake, TX 77434-3202

Mailing address

5503 Felice Dr
Houston, TX 77081-4222
Phone (832) 725-8428

Other practice location 1

5177 Richmond Ave Ste 1140
Houston, TX 77056-6724
Phone (832) 725-8428

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
37609TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cahrmc CurrentSince May 19, 2020 Accepting new patients
Cahrmc CurrentSince May 19, 2020 Accepting new patients

Locations

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

1011 S Dill St
East Bernard, TX 77435
Phone (979) 335-4433

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1568071264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 FELICE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814222",
            "telephone_number": "832-725-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AUSTIN RD",
            "city": "EAGLE LAKE",
            "state": "TX",
            "postal_code": "774343202",
            "telephone_number": "979-234-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5177 Richmond Ave Ste 1140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770566724",
            "country_code": "US",
            "telephone_number": "832-725-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARGE",
        "first_name": "TYARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Lake, TX

Sources for this page

Verify at the official NPI Registry.