Active NPI
Jafa Group, Inc.
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1205382918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24433
- Legal business name
- JAFA GROUP, INC.
- Practice address
- 110 W Randol Mill Rd
Arlington, TX 76011-4611 - Phone
- (817) 721-8074
- Fax
- (817) 277-1144
- NPI assigned
- Sep 1, 2016
- Last updated
- Sep 1, 2016
- Organization subpart
- Yes
- Parent organization
- JAMES A. FARMER PHD.,LCSW
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James A Farmer, PH.D.
- Title
- Therapist
- Phone
- (817) 721-8074
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24433 | TX | Primary |
Addresses
Primary practice location
110 W Randol Mill Rd
Arlington, TX 76011-4611
Mailing address
1441 Palmnild Circle West
Fort Worth, TX 76120-4707
Phone (817) 721-8074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064220901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
110 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 721-8074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Fort Worth, TX
- NPI 1649329673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1205382918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 PALMNILD CIRCLE WEST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761204707",
"telephone_number": "817-721-8074",
"fax_number": "817-277-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760114611",
"telephone_number": "817-721-8074",
"fax_number": "817-277-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAFA GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JAMES A. FARMER PHD.,LCSW",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "FARMER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "817-721-8074",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "24433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064220901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.