Tara Brewster Lineberry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011010 Issued in VA

Practice address

180 W Main St Ste 6
Wytheville, VA 24382-2304

Phone

(276) 200-4521

NPI assigned

Apr 5, 2020

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 VA

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

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  Single Specialty

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  VA

  Medicare reassignment NPD
• Wellmind Living

  • Clinical Social Worker
  • Wytheville, VA
  • NPI 1710692793
  NPD Authorized official
• 1200 West LLC

  • Mental Health Counselor
  • Blacksburg, VA
  • NPI 1871004077
  NPD (past)

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1619506367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W MAIN ST STE 6",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822304",
            "telephone_number": "276-200-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MAIN ST STE 6",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822304",
            "telephone_number": "276-200-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 W Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821363",
            "country_code": "US",
            "telephone_number": "540-320-5803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINEBERRY",
        "first_name": "TARA",
        "middle_name": "BREWSTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178041",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Timothy Larsen, LPC
• Kristyna Lea Lathem, MS, LPC
• Cristina M Lecaros-Trinidad, M.D,
• LHCG Cxxvii, LLC
• Meghan Lineberry
• Jennifer Lynn Long, MOT
• Stephen Fredrick Lord, OD
• Jerry Lowry, DO
• Lindsay Alyson Lundy, LCSW-P
• Martha Luper, LPC

• Clinical Social Worker in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.