Ms Tauriah Tyshae Lynn Stubblefield, LCSW in Southlake, TX - Medicare Clinical Social Worker Provider

Ms Tauriah Tyshae Lynn Stubblefield, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Southlake, Texas. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 431 E State Highway 114 Ste 140, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Ms Tauriah Tyshae Lynn Stubblefield is licensed to practice in Texas (license number 66080) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912731837.

Contact Information

	Ms Tauriah Tyshae Lynn Stubblefield, LCSW
	431 E State Highway 114 Ste 140, Southlake, TX 76092-4412
	(844) 824-8775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tauriah Tyshae Lynn Stubblefield
Gender	Female
Speciality	Clinical Social Worker
Experience	7 Years
Location	431 E State Highway 114 Ste 140, Southlake, Texas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Tauriah Tyshae Lynn Stubblefield graduated from medical school in 2019

NPI Data:

NPI Number: 1912731837
Provider Enumeration Date: 09/02/2024
Last Update Date: 01/15/2026

Medicare PECOS Information:

PECOS PAC ID: 1052852555
Enrollment ID: I20240924004173

Medical Identifiers

Medical identifiers for Ms Tauriah Tyshae Lynn Stubblefield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912731837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	66080 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Tauriah Tyshae Lynn Stubblefield allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tauriah Tyshae Lynn Stubblefield is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Tauriah Tyshae Lynn Stubblefield, LCSW 431 E State Highway 114 Ste 140, Southlake, TX 76092-4412 Ph: (844) 824-8775	Ms Tauriah Tyshae Lynn Stubblefield, LCSW 431 E State Highway 114 Ste 140, Southlake, TX 76092-4412 Ph: (844) 824-8775

Reviews and Comments

Social Worker in Southlake, TX

Mrs. Garen Gasparro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2435 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-812-2880
Miss Brenda Gomez Hendrix-smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Silicon Drive, Suite 100, Southlake, TX 76092 Phone: 817-416-7729
Robert Lemus, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2104 Greenbriar Dr, Southlake, TX 76092 Phone: 817-442-9022
Anna L Clark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2535 E Southlake Blvd Ste 220, Southlake, TX 76092 Phone: 817-913-6580
Emily Marquez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 191 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-488-0502 Fax: 817-488-0495
Todd Allen Gjerdevig, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 180 State St Ste 225, Southlake, TX 76092 Phone: 817-908-0296
Katherine Mccoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Corporate Cir, Southlake, TX 76092 Phone: 817-721-9330

Ms Tauriah Tyshae Lynn Stubblefield, LCSW - Medicare Clinical Social Worker in Southlake, TX