Active NPI
Elizabeth Jenkins Hukill, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1154831048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68809
- Practice address
- 2236 Washington Ave
Fort Worth, TX 76110-1959 - Phone
- (903) 922-1611
- NPI assigned
- Oct 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 39599 | TX | |
| Clinical Social Worker | 1041C0700X | 68809 | TX | Primary |
Addresses
Primary practice location
2236 Washington Ave
Fort Worth, TX 76110-1959
Mailing address
2236 Washington Ave
Fort Worth, TX 76110-1959
Phone (903) 922-1611
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 |
|---|---|---|---|
| 68809 | TX | MD | Professional Counselor |
| 39599 | TX | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1154831048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 WASHINGTON AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101959",
"telephone_number": "903-922-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 WASHINGTON AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101959",
"telephone_number": "903-922-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUKILL",
"first_name": "ELIZABETH",
"middle_name": "JENKINS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "39599",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "68809",
"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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.