Individual provider Active NPI

Tomeka S Hale, LICSW-PIP, MSW

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1710316922
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4002C Issued in AL
Practice address
500 Markaview Rd NW
Huntsville, AL 35805-3652
Phone
(205) 933-8101
Fax
(256) 551-0687
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW005988 GA
Social Worker 104100000X 2679G AL
Clinical Social Worker 1041C0700X 4002C AL Primary

Addresses

Primary practice location

500 Markaview Rd NW
Huntsville, AL 35805-3652

Mailing address

3605 Governors Dr SW Unit 7312
Huntsville, AL 35807-5062
Phone (205) 933-8101

Other practice location 1

2249 Vinson Hwy SE
Wing A, Room 119-A, Wheeler Building
Milledgeville, GA 31061-4807
Phone (478) 414-4540 ext. 5129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2679GALMDSocial Worker
MSW005988GAMDSocial Worker
4002CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Counseling Services, LLC Clinical CurrentSince Oct 25, 2020 Accepting new patients

Locations

3605 Governors Dr SW
Unit 7312
Huntsville, AL 35807

Organizations & group practices 1

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1710316922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GOVERNORS DR SW UNIT 7312",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358075062",
            "telephone_number": "205-933-8101",
            "fax_number": "256-551-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKAVIEW RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358053652",
            "telephone_number": "205-933-8101",
            "fax_number": "256-551-0687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2249 Vinson Hwy SE",
            "address_2": "Wing A, Room 119-A, Wheeler Building",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310614807",
            "country_code": "US",
            "telephone_number": "478-414-4540 x5129",
            "fax_number": "478-414-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "TOMEKA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LICSW-PIP, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005988",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "2679G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4002C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.