Individual provider Active NPI

Courtney E Walraven, LCSW

  • Clinical Social Worker
  • Lubbock, TX
National Provider Identifier
1205394285
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59374 Issued in TX
Practice address
6310 Genoa Ave Ste D
Lubbock, TX 79424-2708
Phone
(806) 855-3050
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 59374 TX Primary

Addresses

Primary practice location

6310 Genoa Ave Ste D
Lubbock, TX 79424-2708

Mailing address

6310 Genoa Ave Ste D
Lubbock, TX 79424-2708
Phone (806) 855-3050

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
59374TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Walraven LCSW PLLC Clinical CurrentSince May 18, 2025 Accepting new patients

Locations

6310 Genoa Ave
Ste D
Lubbock, TX 79424
Phone (806) 855-3024

Organizations & group practices 1

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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1205394285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 GENOA AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242708",
            "telephone_number": "806-855-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 GENOA AVE STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242708",
            "telephone_number": "806-855-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALRAVEN",
        "first_name": "COURTNEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.