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MAUREEN DOLAN TYRA LICSW
NPI 1598949208
Social Worker - Clinical in Los Angeles, CA

Active since December 18, 2007PECOS Enrolled
6221 MONTEREY RD APT 201, LOS ANGELES, CA 90042(213) 807-2021 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maureen Dolan Tyra Licsw NPPES

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

MAUREEN DOLAN TYRA LICSW (NPI 1598949208) is an individual clinical provider in Los Angeles, California, licensed in California (79712) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598949208
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAUREEN DOLAN TYRACredential: LICSW
Location Address6221 MONTEREY RD APT 201Los Angeles, CA 90042-4085
Mailing Address6221 Monterey Rd Apt 201Los Angeles, CA 90042-4085 · (213) 807-2021
Phone(213) 807-2021
Sole ProprietorYes
Enumeration DateDecember 18, 2007
Last NPPES UpdateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1598949208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 79712
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6221 MONTEREY RD APT 201, Los Angeles, CA 90042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Dolan Tyra Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Maureen Tyra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
305 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maureen Tyra's NPI number?

The NPI number for Maureen Tyra is 1598949208. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Maureen Tyra located?

Maureen Tyra practices at 6221 Monterey Rd Apt 201, Los Angeles, CA 90042. The listed phone number is (213) 807-2021.

What is Maureen Tyra's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Maureen Tyra enrolled in Medicare?

Yes. Maureen Tyra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maureen Tyra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Tyra reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maureen Tyra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maureen Tyra was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.