MR. MELQUIADES LARA LMSW
NPI 1023267424
Social Worker in Tacoma, WA

Q: What is Melquiades Lara's NPI number?

The NPI number for Melquiades Lara is 1023267424. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Q: What is Melquiades Lara's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Melquiades Lara was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 10, 2008PECOS EnrolledAccepts Medicare Assignment

209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300(253) 596-3301 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Melquiades Lara Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MELQUIADES LARA LMSW (NPI 1023267424) is an individual social worker in Tacoma, Washington, licensed in New York (075664) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1023267424

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. MELQUIADES LARACredential: LMSW

Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265

Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (253) 596-3300 · Fax (253) 596-3301

Phone(253) 596-3300

Fax(253) 596-3301

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 10, 2008

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1023267424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 075664

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Melquiades Lara Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901132158

PECOS Enrollment IDI20190725000685

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTINA SIU PETSAS M.D.

Family Medicine