Tameka Granberry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7770-C Issued in AR

Practice address

900 N 7TH St
West Memphis, AR 72301-2001

Phone

(870) 735-3842

NPI assigned

Oct 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Arkansas Family Health Center, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Trumann, AR
  • NPI 1578889622

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Blytheville, AR
  • NPI 1659506095

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1871599613

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lepanto, AR
  • NPI 1922139062

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Marvell, AR
  • NPI 1508379249

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Earle, AR
  • NPI 1912370198

  AR

  Medicare reassignment NPD
• Northeast Arkansas Community Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1336118207

  AR

  Medicare reassignment NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1033997275
  NPD
• Northeast Arkansas Community Mental Health Center Inc

  • Family Medicine Physician
  • Blytheville, AR
  • NPI 1043885759
  NPD
• Northeast Arkansas Community Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Marianna, AR
  • NPI 1528388253
  NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, AR
  • NPI 1437638038
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1619348703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Browns Ln",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017213",
            "country_code": "US",
            "telephone_number": "870-972-4961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4451 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723357711",
            "country_code": "US",
            "telephone_number": "870-633-3800",
            "fax_number": "870-633-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANBERRY",
        "first_name": "TAMEKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7770-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Aaron Goodman, MD
• Atesia Gordon
• Robin Senise Gordon
• Graham Primary Healthcare
• Tracie Renee Graham, O.T.
• Ann Collins Grant, MSRDLD
• Jennie Grant, MHPP
• Myia Graves, MHPP
• Toya Graves
• April Gray, PMHNP-BC

• Clinical Social Worker in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.