MISS IASIA TYRE LCSWC
NPI 1699157438
Social Worker - Clinical in Frederick, MD

Active since June 28, 2015PECOS EnrolledAccepts Medicare Assignment
2625 ISLAND GROVE BLVD, FREDERICK, MD 21701(718) 775-1992 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Iasia Tyre Lcswc NPPES

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

MISS IASIA TYRE LCSWC (NPI 1699157438) is an individual clinical provider in Frederick, Maryland, licensed in Maryland (17900) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1699157438
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS IASIA TYRECredential: LCSWC
Location Address2625 ISLAND GROVE BLVDFrederick, MD 21701-3313
Mailing Address2625 Island Grove BlvdFrederick, MD 21701-3313 · (718) 775-1992
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 28, 2015
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1699157438 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 MD · 17900
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.
2625 ISLAND GROVE BLVD, Frederick, MD 21701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Iasia Tyre Lcswc 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 ID5890115406
PECOS Enrollment IDI20201021000997
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 Reassignments

3

Medicare enrollment records show Iasia Tyre reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Maryland enrollment
  • 33 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Maryland enrollment
  • 71 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group

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 21701 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 Iasia Tyre's NPI number?

The NPI number for Iasia Tyre is 1699157438. It was assigned to this individual provider in the NPPES registry on June 28, 2015.

Where is Iasia Tyre located?

Iasia Tyre practices at 2625 Island Grove Blvd, Frederick, MD 21701. The listed phone number is (718) 775-1992.

What is Iasia Tyre's specialty?

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

Is Iasia Tyre enrolled in Medicare?

Yes. Iasia Tyre is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Iasia Tyre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iasia Tyre reassigns Medicare benefits to 3 organizations: Talkspace Provider Network PA (New York, NY), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Iasia Tyre'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 Iasia Tyre was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.