Tarae Brunette Hornsby, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1511-2397C Issued in AL

Practice address

700 19TH St S
Birmingham, AL 35233-1927

Phone

(205) 933-8101

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tarae Brunette Hornsby Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1689280539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 TWIN RIDGE DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712855",
            "telephone_number": "205-213-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331927",
            "telephone_number": "205-933-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "TARAE",
        "middle_name": "BRUNETTE",
        "credential": "LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1511-2397C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAE",
            "last_name": "HORNSBY",
            "middle_name": "BRUNETTE",
            "prefix": "MS.",
            "credential": "LICSW, PIP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacob Horner
• Jacqueline Hornikel, MS, RDN, LD
• Mallory Hornikel
• Erin Hornsby, RN
• Larry G Hornsby, CRNA
• Hannah Higginbotham Horsley, CCC-SLP
• Jessica Nicole Horsley
• Rebecca Horst, PA
• Vernon D. Horst, M.D.
• Cathy White Horton

• Clinical Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.