Active NPI
Yesika Moncada, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1013890441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103734 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lena Pope Home, Inc. | Clinical | Current | 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.