Tahirah Samuels, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53611 Issued in TX

Practice address

2080 N Hwy 360 Ste 220
Grand Prairie, TX 75050-1400

Phone

(817) 919-1603

Fax

(682) 252-7137

NPI assigned

Oct 2, 2016

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as group

Quality

83.48

Improvement activities

40

Cost

67.52

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tahirahsamuels@tdh.allscriptsdirect.net

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.

• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238

  Clinical

  Medicare reassignment Care Compare group NPD
• Deer Oaks Geriatric Services P C

  dba Deer Oaks Consultation Services

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment NPD
• A Service With Respect Limited Liability Company

  • In Home Supportive Care Agency
  • Grand Prairie, TX
  • NPI 1215495254
  NPD Authorized official
• Wellness Plus Counseling Services, LLC

  • Clinical Social Worker
  • Grand Prairie, TX
  • NPI 1558823385
  NPD Authorized official
• A Service With Respect

  • In Home Supportive Care Agency
  • Grand Prairie, TX
  • NPI 1134697030
  Authorized official Same address or phone
• A Service With Respect LLC

  • In Home Supportive Care Agency
  • Grand Prairie, TX
  • NPI 1619435070
  Authorized official Same address or phone
• Che Behavioral Health Counseling Services of Texas, P.a.

  • Clinical Psychologist
  • Arlington, TX
  • NPI 1043824717
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1629527619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 JEFFERSON POINT DR",
            "address_2": "APT 647",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066907",
            "telephone_number": "817-919-1603",
            "fax_number": "682-252-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N HWY 360 STE 220",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501400",
            "telephone_number": "817-919-1603",
            "fax_number": "682-252-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TAHIRAH",
        "name_prefix": "Ms.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samer M. Nachawati, LLC
• Sams East Inc (Sams Pharmacy)
• Candice Michelle Sams
• Eboni Samuel
• Rency Samuel
• Elsa Estrada Sanchez
• Jorge Rene Sanchez, DC
• Lionel Sandjong
• Adria Santiago
• Pamela Santone, D.O.

• Clinical Social Worker in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.