Individual provider Active NPI

Tiera McGary

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1811610678
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027206 Issued in IL
Practice address
2715 N Central Ave
Chicago, IL 60639-1351
Phone
(773) 360-1389
Fax
(773) 687-9412
NPI assigned
Sep 26, 2022
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.10708 IL
Clinical Social Worker 1041C0700X 149.027206 IL Primary

Addresses

Primary practice location

2715 N Central Ave
Chicago, IL 60639-1351

Mailing address

2812 S Princeton Ave Apt 3F
Chicago, IL 60616-2603
Phone (773) 934-8747

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
150.10708ILMDSocial Worker
149.027206ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapeutic Services, Inc Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1811610678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 S PRINCETON AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162603",
            "telephone_number": "773-934-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391351",
            "telephone_number": "773-360-1389",
            "fax_number": "773-687-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARY",
        "first_name": "TIERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.10708",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.