Individual provider Active NPI

Tally L May, MSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1881823706
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
X-09387 Issued in NM
Practice address
2701 W Picacho Ave Ste 4
Las Cruces, NM 88007-4732
Phone
(575) 652-3646
Fax
(575) 680-2415
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X X-09387 NM Primary

Addresses

Primary practice location

2701 W Picacho Ave Ste 4
Las Cruces, NM 88007-4732

Mailing address

2701 W Picacho Ave Ste 4
Las Cruces, NM 88007-4732
Phone (575) 652-3646

Other names 1

  • Tally L Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20170522001868 NM Practitioner - Clinical Social Worker 1759680531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-09387NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Healthcare Industry LLC Clinical CurrentSince Dec 6, 2020 Accepting new patients

Locations

2701 W Picacho Ave
Ste 4
Las Cruces, NM 88007
Phone (575) 652-3646

Organizations & group practices 2

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1881823706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W PICACHO AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074732",
            "telephone_number": "575-652-3646",
            "fax_number": "575-680-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W PICACHO AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074732",
            "telephone_number": "575-652-3646",
            "fax_number": "575-680-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "TALLY",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-09387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALLY",
            "last_name": "SIMMONS",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.