CATHOLIC CHARITIES OF FORT WORTH, INC (NPI# 1962445791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962445791 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF FORT WORTH, INC |
| Practice Address |
2701 Burchill Rd N Fort Worth TX 76105-3012 |
| Practice Telephone | 8175340814 |
| Practice Fax Number | 8175361556 |
| Mailing Telephone | 8175340814 |
| Mailing Fax Number | 8175361556 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MONICA QUIROZ (VICE PRESIDENT - ADMINISTRATION) |
| Authorized Official Telephone | 8175340814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2701 BURCHILL RD N |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447482641 | Charles Henry Lavine | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2009-08-20 |
| 1578799649 | Jennifer Lee Sheffield | Registered Nurse | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2009-06-03 |
| 1922262021 | Nicola Alexandra Johnson | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105 | 2008-07-17 |
| 1386807204 | Catholic Charities Diocese of Fort Worth Inc | Contractor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2008-07-10 |
| 1104938968 | Merry Louise Floyd | Social Worker | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-31 |
| 1144331117 | Linda Eatenson | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-31 |
| 1205941598 | Mary Elouise Graves | Marriage & Family Therapist | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-20 |
| 1699880930 | Constance Ann Burdick | Counselor | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428780 | Cynthia Frazier | Counselor | 2612 Dahlia Dr, Fort Worth, TX 76123-1252 | 2020-08-23 |
| 1326650755 | Next Steps Professional Counseling Services, LLC | Counselor | 101 S Jennings Ave Unit 104, Fort Worth, TX 76104-1112 | 2020-08-18 |
| 1477163103 | Adriana E Speiker | Counselor | 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 | 2020-08-07 |
| 1285252031 | Kiersta Lane Garcia | Counselor | 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 | 2020-07-08 |
| 1588290571 | Heather Penry | Counselor | 1024 Marlow Ln, Fort Worth, TX 76131-5375 | 2020-03-21 |
| 1992339105 | Azmeh Amer | Counselor | 172 Saint Donovan St, Fort Worth, TX 76107-1252 | 2020-02-26 |
| 1588297121 | Surnedra C Simmons | Counselor | 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615 | 2020-02-21 |
| 1821629957 | Turquoise Banks | Counselor | 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 | 2020-01-28 |
| 1003447236 | Nicole Leona Sallee | Counselor | 201 Main St Fl 6, Fort Worth, TX 76102-3105 | 2020-01-27 |
| 1780214106 | Jeremy Adam Lelek | Counselor | 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824 | 2020-01-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on CATHOLIC CHARITIES OF FORT WORTH, INC.
| 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.