ENRIQUE ILLINGWORTH (NPI# 1528333044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528333044 |
| Entity Type | Individual |
| Full Name | ENRIQUE ILLINGWORTH |
| Credential | LMSW |
| Practice Address |
2700 Meacham Blvd Suite 100 Fort Worth TX 76137 |
| Mailing Address |
2416 Fm 2280 Cleburne TX 76031 |
| Practice Telephone | 8179848525 |
| Mailing Telephone | 8175264862 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 37644 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2700 MEACHAM BLVD SUITE 100 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162574 | Adriane Denise Watters | Social Worker | 5648 Comer Dr, Fort Worth, TX 76134-2206 | 2020-10-21 |
| 1578187738 | Glendy Belle Calderon | Social Worker | 6300 Ridglea Pl # 425, Fort Worth, TX 76116-5704 | 2020-06-03 |
| 1851925598 | Kelli Susan Mitchell-wyatt | Social Worker | 6113 Ten Mile Bridge Rd, Fort Worth, TX 76135-1335 | 2020-03-02 |
| 1265063705 | Melissa A White | Social Worker | 901 7th Ave Ste 4124, Fort Worth, TX 76104-2722 | 2020-02-03 |
| 1487285730 | Alejandra Z Solis | Social Worker | 801 7th Ave # 6100, Fort Worth, TX 76104-2733 | 2020-01-27 |
| 1942830880 | Daishai Logan | Social Worker | 6282 Truman Dr, Fort Worth, TX 76112-8042 | 2020-01-20 |
| 1073169652 | Katherine Aultman | Social Worker | 4939 Dexter Ave, Fort Worth, TX 76107-3741 | 2019-08-10 |
| 1346704707 | Jazmin D. Tucker | Social Worker | 1814 8th Ave Ste B7, Fort Worth, TX 76110-1354 | 2019-01-29 |
| 1871001651 | Melissa Kay Miller | Social Worker | 1300 W Rosedale St Ste 8, Fort Worth, TX 76104-2826 | 2018-01-16 |
| 1093238776 | April Dawn Grimes | Social Worker | 8553 N Beach St Ste 378, Fort Worth, TX 76244 | 2017-07-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on ENRIQUE ILLINGWORTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.