MS. TAMARA LONELLE MASON (MSW LICSW) – Clinical Social Worker, NPI 1205813581

MS. TAMARA LONELLE MASON (MSW LICSW) is a healthcare provider. based in Bemidji, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LICSW. They hold a License No. 13004 (MN). The NPI Number for MS. TAMARA LONELLE MASON (MSW LICSW) is 1205813581

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMARA LONELLE MASON (MSW LICSW)
NPI
1205813581
Phone
(218) 444-0899
Address
522 BELTRAMI AVE NW STE 108
Enumeration Date
28 December 2005
Last Update Date
3 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517485019
Graduation Year
1985 (41 years ago)
PAC ID
6901893833
Group Practice PAC ID
6204178528
Professional Enrollment ID
I20040430000594
Address ID
MN551163412SA2270XPKWY339
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MS. TAMARA LONELLE MASON (MSW LICSW)

  • Beltrami Avenue Northwest, Bemidji, Beltrami County, Minnesota, 56601, United States

    BEMIDJI, MN 566013002

    Phone: (218) 444-0899

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040430000594IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour6316$0
View full utilization report →

Insurance plans in this area (ZIP 56601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204178528View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistAK
Nurse PractitionerMN
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

Does MS. TAMARA LONELLE MASON (MSW LICSW) have a public NPI I can cite?
Public records show MS. TAMARA LONELLE MASON (MSW LICSW) under NPI 1205813581.
Does the public listing show MS. TAMARA LONELLE MASON (MSW LICSW) as active?
MS. TAMARA LONELLE MASON (MSW LICSW)'s NPI record reflects an active status in NPPES.
What type of care does MS. TAMARA LONELLE MASON (MSW LICSW) provide?
MS. TAMARA LONELLE MASON (MSW LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. TAMARA LONELLE MASON (MSW LICSW)?
MS. TAMARA LONELLE MASON (MSW LICSW) shows a connection to Bemidji, Minnesota in registry-derived data.
Who maintains MS. TAMARA LONELLE MASON (MSW LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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