Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104400548 Individual Practitioner Female Practitioner

Durina Tah , LCSW

Social Worker • Mesa, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Durina Tah, LCSW is a certified Social Worker practicing in Mesa, AZ. With approximately 16 years of clinical experience since completing medical education in 2010, Durina Tah delivers high-quality medical care to the local community at 777 W SOUTHERN AVE.

Durina Tah is affiliated with Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

777 W Southern Ave

Mesa, AZ 852105008

Telephone 6022795262
Associated Practice Facility / Clinic
🏢 Heather Betsko, Llc Facility NPI 1750576856

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Mesa, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -1.1 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
86 Specialists

Practicing in Mesa, AZ (1597 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tah (16 Years) 16 Yrs
Mesa Specialty Average (17.1 Years) 17.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-04
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License AZ LCSW18085

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License AZ LCSW-18085

Definition to come...

Hospital & Practice Group Affiliations

Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm

4212 N 16th St, Phoenix, AZ 850165319

Phone: 6022631200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023369618
Jasmine Samuel , FNP

Nurse Practitioner - Family

NPI 1043984339

Family Nurse Practitioner

Wendy Philpot , MAPC, LAC

Counselor - Professional

NPI 1053645010

MAPC, Licensed Acupuncturist

Kimberly Yazzie

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063024909
Amber Joslyn , LIAC-

Counselor - Addiction (Substance Use Disorder)

NPI 1073119368

LIAC

NPI 1073273264

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location May 04, 2026

Registered at 777 W SOUTHERN AVE, MESA, AZ 852105008 (Tel: 6022795262)

📍
Updated Business Mailing Address May 04, 2026

Registered at 777 W SOUTHERN AVE, MESA, AZ 852105008 (Tel: 6022795262)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2026

Social Worker (License #LCSW18085 in AZ)

📍
Updated Practice Location March 24, 2026

Registered at 4212 N 16TH ST, PHOENIX, AZ 850165319 (Tel: 6022631200)

📍
Updated Business Mailing Address March 24, 2026

Registered at PO BOX 95460, CLEVELAND, OH 441010033 (Tel: 6025816076)

📍
Updated Practice Location March 21, 2025

Registered at 3208 N SALIDA DEL SOL, CHANDLER, AZ 852241260 (Tel: 4804536489)

👤
Provider Name / Credentials Updated March 21, 2025

Recorded as DURINA TAH, LCSW

NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2021

Registered at 2022 N NEVADA ST APT 1038, CHANDLER, AZ 852250957 (Tel: 4804536489)

📍
Updated Business Mailing Address May 11, 2021

Registered at PO BOX 7633, CHANDLER, AZ 852467633

👤
Provider Name / Credentials Updated May 11, 2021

Recorded as DURINA KEYONNIE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Counselor (License #LCSW-18085 in AZ)

🟢
Initial NPI Registration & Enumeration May 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104400548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2021
Last Update: May 04, 2026
Sole Proprietor: Yes

Mailing Address

777 W Southern Ave

Mesa, AZ 852105008

Phone: 6022795262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.