Kelvin Drew McCoy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62348 Issued in TX

Practice address

1950 FM 2673
Canyon Lake, TX 78133-4758

Phone

(254) 488-8558

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TX

  Medicare reassignment Care Compare group NPD
• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  Medicare reassignment NPD
• Hill Country Community MHMR Center

  • Community/Behavioral Health Agency
  • Kerrville, TX
  • NPI 1841304201
  Medicare reassignment
• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1043382542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WATTS LN",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781336400",
            "telephone_number": "254-488-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334758",
            "telephone_number": "254-488-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Allentown Pkwy Ste 206",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750024215",
            "country_code": "US",
            "telephone_number": "972-233-1010",
            "fax_number": "214-623-6692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2043 Birch Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708161446",
            "country_code": "US",
            "telephone_number": "229-460-3871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KELVIN",
        "middle_name": "DREW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558496-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Lynn Lively, CPCP
• Jo Ann Luker, LPC
• Lutheran Social Services of the South, Inc.
• Tanya Susette Martinez-Cardenas
• Jose Angel Martinez Jr., PA-C
• Yadira Medina-Torres, SLP
• Melton Chiropractic,PLLC
• Lorena Mijares Martinez
• Cynthia Marie Millford
• Amanda Mills

• Clinical Social Worker in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.