Individual provider Active NPI

Ann Marie Haney Chen, LCSW

  • Clinical Social Worker
  • Carrollton, TX
National Provider Identifier
1124549373
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59580 Issued in TX
Practice address
3841 Province Dr
Carrollton, TX 75007-2333
Phone
(940) 301-1121
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22368 AZ
Clinical Social Worker 1041C0700X 59580 TX Primary

Addresses

Primary practice location

3841 Province Dr
Carrollton, TX 75007-2333

Mailing address

3841 Province Dr
Carrollton, TX 75007-2333
Phone (469) 945-6060

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171019001303 TX Practitioner - Clinical Social Worker 2668748617 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22368AZMDClinical Social Worker
59580TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Coalition for Health Options CurrentSince Jul 17, 2017 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Jul 17, 2017 Accepting new patients
Ann Marie Chen Counseling PLLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Gramercy Specialty Clinic PLLC Clinical Past Accepting new patients

Locations

805 W Lampasas St
Ennis, TX 75119
Phone (972) 875-9494

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

Organizations & group practices 4

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1124549373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PROVINCE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072333",
            "telephone_number": "469-945-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PROVINCE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072333",
            "telephone_number": "940-301-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANN",
        "middle_name": "MARIE HANEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.