1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Social Worker
  6. NPI Profile

TEQUILA SEARS LCSW
NPI 1669281994
Social Worker - Clinical in Atlanta, GA

Active since January 02, 2025PECOS Enrolled
3984 LAKE MANOR WAY, ATLANTA, GA 30349(954) 294-4870 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tequila Sears Lcsw NPPES

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

TEQUILA SEARS LCSW (NPI 1669281994) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (CSW009386) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669281994
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTEQUILA SEARSCredential: LCSW
Location Address3984 LAKE MANOR WAYAtlanta, GA 30349-8226
Mailing Address3984 Lake Manor WayAtlanta, GA 30349-8226 · (954) 294-4870
Phone(954) 294-4870
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1669281994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW009386
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.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
3984 LAKE MANOR WAY, Atlanta, GA 30349
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tequila Sears Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183193790
PECOS Enrollment IDI20260513001005
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 30349 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 Tequila Sears's NPI number?

The NPI number for Tequila Sears is 1669281994. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Tequila Sears located?

Tequila Sears practices at 3984 Lake Manor Way, Atlanta, GA 30349. The listed phone number is (954) 294-4870.

What is Tequila Sears's specialty?

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

Is Tequila Sears enrolled in Medicare?

Yes. Tequila Sears is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tequila Sears was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.