Active NPI
Marked for Grace Counseling Center
- Clinical Social Worker
- Waco, TX
National Provider Identifier
1225889074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MARKED FOR GRACE COUNSELING CENTER
- Practice address
- 4209 W Waco Dr Ste 4
Waco, TX 76710-7111 - Phone
- (469) 669-2726
- NPI assigned
- Mar 29, 2024
- Last updated
- Dec 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Daniel, LCSW-S
- Title
- Owner
- Phone
- (469) 867-2301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4209 W Waco Dr Ste 4
Waco, TX 76710-7111
Mailing address
4209 W Waco Dr Ste 4
Waco, TX 76710-7111
Phone (469) 669-2726
National Provider Directory
National Provider DirectoryPractitioners & 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
- Denton, TX
- NPI 1790350569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1225889074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 W WACO DR STE 4",
"city": "WACO",
"state": "TX",
"postal_code": "767107111",
"telephone_number": "469-669-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 W WACO DR STE 4",
"city": "WACO",
"state": "TX",
"postal_code": "767107111",
"telephone_number": "469-669-2726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARKED FOR GRACE COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-29",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "DANIEL",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-867-2301",
"authorized_official_credential": "LCSW-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.