TYRA D DURHAM LCSW
NPI 1629144845
Social Worker - Clinical in Hartford, CT

Active since November 28, 2006PECOS Enrolled
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER, HARTFORD, CT 06112(860) 297-0905(860) 297-0914 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyra D Durham Lcsw NPPES

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

TYRA D DURHAM LCSW (NPI 1629144845) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (006165) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629144845
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYRA D DURHAMCredential: LCSW
Location Address500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTERHartford, CT 06112
Mailing Address500 Vine Street, Human ResourcesHartford, CT 06112 · (860) 297-0905 · Fax (860) 297-0914
Fax(860) 297-0914
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629144845 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 CT · 006165
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.

500 VINE STREET, Hartford, CT 06112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyra D Durham Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06112 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

Psychiatry & Neurology (Psychiatry)
500 VINE STREET, CAPITOL REGION MENTAL HEALTHY CENTER
HARTFORD, CT 06112
Pathology (Anatomic Pathology & Clinical Pathology)
500 VINE STREET, BLUE HILLS HOSPTIAL
HARTFORD, CT 06112
Clinical Nurse Specialist
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER
HARTFORD, CT 06112
Social Worker (Clinical)
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER HUMAN RESOURCES
HARTFORD, CT 06112
Social Worker (Clinical)
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER
HARTFORD, CT 06112
Social Worker (Clinical)
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER HUMAN RESOURCES
HARTFORD, CT 06112
Social Worker (Clinical)
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER HUMAN RESOURCES
HARTFORD, CT 06112
Psychologist
500 VINE STREET, CAPITOL REGION MENTAL HEALTH CENTER
HARTFORD, CT 06112

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 Tyra Durham's NPI number?

The NPI number for Tyra Durham is 1629144845. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Tyra Durham located?

Tyra Durham practices at 500 Vine Street Capitol Region Mental Health Center, Hartford, CT 06112. The listed phone number is (860) 297-0905.

What is Tyra Durham's specialty?

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

Is Tyra Durham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyra Durham was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.