Tina Street, LMHP, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3506 Farmington Dr Apt D
Greensboro, NC 27407-5779

Phone

(276) 734-3421

NPI assigned

Feb 8, 2021

Last updated

Oct 11, 2021By 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

Electronic endpoints 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kam's Corner, LLC

  • Mental Health Counselor
  • Stuart, VA
  • NPI 1235829722
  Medicare reassignment NPD Authorized official
• Emotional Expressions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, VA
  • NPI 1346904588
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  VA

  Medicare reassignment NPD
• A'Diva's Glo

  • Durable Medical Equipment & Medical Supplies
  • Martinsville, VA
  • NPI 1730809260
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1740872092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 FARMINGTON DR APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075779",
            "telephone_number": "276-734-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 FARMINGTON DR APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075779",
            "telephone_number": "276-734-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "TINA",
        "credential": "LMHP,  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tn.street30@gmai.com",
            "affiliation": "N",
            "address_1": "3506 Farmington Dr Apt D",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274075779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dymon Strayhorn
• Alyssa R Strazanac, MD
• Christian J Streck, M.D.
• Elizabeth Street
• Stacy Lynn Street
• Jameshia Streeter
• Jackson Thomas Streitwieser, LCAS, LCMHC-A
• Robert John Stretch, M.D.
• Ashley Elizabeth Strickland, DPT
• Bevin Strickland, CRNA

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.