Individual provider Active NPI

Meosha Tye, LCSW

  • Clinical Social Worker
  • Rogers, AR
National Provider Identifier
1962218941
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10089-C Issued in AR
Practice address
324 N 2ND St
Rogers, AR 72756-6647
Phone
(479) 986-0566
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 10089-C AR Primary

Addresses

Primary practice location

324 N 2ND St
Rogers, AR 72756-6647

Mailing address

324 N 2ND St
Rogers, AR 72756-6647
Phone (479) 986-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250107002045 AR Practitioner - Clinical Social Worker 6709314586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC Current Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Wellspring Healthcare Associates, PA PastSince Dec 8, 2024 Accepting new patients

Locations

1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: meosha.tye.1@15024.direct.athenahealth.com
  • Direct secure messaging: meosha.tye@aphw.eclinicaldirectplus.com
  • Direct secure messaging: meosha.tye.1@29938.direct.athenahealth.com
  • Direct secure messaging: meosha.tye.1@2424.direct.athenahealth.com

Organizations & group practices 5

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1962218941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566647",
            "telephone_number": "479-986-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566647",
            "telephone_number": "479-986-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYE",
        "first_name": "MEOSHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10089-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.