Individual provider Active NPI

Devan Kennedy, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1154160059
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112239 Issued in TX
Practice address
3509 Hulen St Ste 100
Fort Worth, TX 76107-6800
Phone
(682) 268-0011
NPI assigned
May 21, 2024
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 112239 TX Primary

Addresses

Primary practice location

3509 Hulen St Ste 100
Fort Worth, TX 76107-6800

Mailing address

910 S Crowley Rd Ste 9
Crowley, TX 76036-4360
Phone (682) 268-0011

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
112239TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nikki Dear, PLLC Social Worker CurrentSince May 26, 2024 Accepting new patients
Resourced & Ready PLLC Current Accepting new patients

Locations

910 S Crowley Rd
Ste 9
Crowley, TX 76036

3509 Hulen St
Ste 100
Fort Worth, TX 76107
Phone (682) 234-5298

5150 Trail Lake Dr
Fort Worth, TX 76133
Phone (817) 380-8115

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1154160059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CROWLEY RD STE 9",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364360",
            "telephone_number": "682-268-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HULEN ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076800",
            "telephone_number": "682-268-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DEVAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-05-21",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2026; 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.