Individual provider Active NPI

Yesika Moncada, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1013890441
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103734 Issued in TX
Practice address
3200 Sanguinet St
Fort Worth, TX 76107-5355
Phone
(817) 255-2652
Fax
(817) 255-2657
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103734 TX Primary

Addresses

Primary practice location

3200 Sanguinet St
Fort Worth, TX 76107-5355

Mailing address

3200 Sanguinet St
Fort Worth, TX 76107-5355
Phone (817) 255-2652

Other practice location 1

10600 Dunham Rd
Roanoke, TX 76262-6534
Phone (817) 255-2652

Other names 1

  • Yesika Breton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103734TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lena Pope Home, Inc. Clinical CurrentSince Aug 3, 2025 Accepting new patients

Locations

3200 Sanguinet St
Fort Worth, TX 76107
Phone (817) 255-2500

10600 Dunham Rd
Roanoke, TX 76262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1013890441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SANGUINET ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075355",
            "telephone_number": "817-255-2652",
            "fax_number": "817-255-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SANGUINET ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075355",
            "telephone_number": "817-255-2652",
            "fax_number": "817-255-2657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Dunham Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "TX",
            "postal_code": "762626534",
            "country_code": "US",
            "telephone_number": "817-255-2652",
            "fax_number": "817-255-2657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCADA",
        "first_name": "YESIKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESIKA",
            "last_name": "BRETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.