Individual provider Active NPI

Tiara A Okoruwa, PHD, LMSW

  • Social Worker
  • Arlington, TX
National Provider Identifier
1780465922
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
59701 Issued in TX
Practice address
501 W Mitchell St
Arlington, TX 76019-3107
Phone
(682) 233-5077
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 59701 TX Primary

Addresses

Primary practice location

501 W Mitchell St
Arlington, TX 76019-3107

Mailing address

501 W Mitchell St Box 19129
Arlington, TX 76019-0001
Phone (682) 233-5077

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
59701TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1780465922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W MITCHELL ST BOX 19129",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760190001",
            "telephone_number": "682-233-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MITCHELL ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760193107",
            "telephone_number": "682-233-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORUWA",
        "first_name": "TIARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "59701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.