Individual provider Active NPI

Melissa Ann Tarver, LCSW

  • Clinical Social Worker
  • Denison, TX
National Provider Identifier
1972193035
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62060 Issued in TX
Practice address
1115 Memorial Dr. Ste 5
Denison, TX 75020
Phone
(903) 466-7868
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LSCSW66603 KS
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LICSW1141996 MA
Clinical Social Worker 1041C0700X 62060 TX Primary

Addresses

Primary practice location

1115 Memorial Dr. Ste 5
Denison, TX 75020

Mailing address

1115 Memorial Dr Ste 5
Denison, TX 75020-2034
Phone (903) 466-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210312000653 TX Practitioner - Clinical Social Worker 2264848415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 Memorial Dr
Suite 5
Denison, TX 75020-2034
Phone (903) 466-7868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW66603KSMDMental Health Counselor
LICSW1141996MAMDMental Health Counselor
62060TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MD Trucare PA Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Synergy Counseling Services & Associates Inc Clinical CurrentSince May 8, 2024 Accepting new patients
Deer Oaks Geriatric Services P C Multi-Specialty CurrentSince Mar 4, 2021 Accepting new patients

Locations

1115 Memorial Dr
Ste 103
Denison, TX 75020
Phone (903) 462-4600

1115 Memorial Dr
Ste 5
Denison, TX 75020
Phone (903) 466-7868

1115 Memorial Dr
Denison, TX 75020
Phone (903) 361-6083

10640 N Riverside Dr
Ste 300
Fort Worth, TX 76244
Phone (817) 722-6078

823 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 421-9999

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

1204 Sherman Dr
Whitesboro, TX 76273
Phone (903) 564-3508

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHDBD

Organizations & group practices 3

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1972193035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MEMORIAL DR STE 5",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202034",
            "telephone_number": "903-466-7868",
            "fax_number": "903-843-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MEMORIAL DR. STE 5",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-466-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LSCSW66603",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LICSW1141996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.