Individual provider Active NPI

Tomas Altamirano III, LMSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1245960616
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103471 Issued in TX
Practice address
610 S Jennings Ave Ste C
Fort Worth, TX 76104-3209
Phone
(817) 382-1876
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 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 103471 TX Primary

Addresses

Primary practice location

610 S Jennings Ave Ste C
Fort Worth, TX 76104-3209

Mailing address

1725 E Morningside Dr
Fort Worth, TX 76104-7126
Phone (817) 395-3360

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
103471TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unbreakable Queer Counseling PLLC CurrentSince Jun 21, 2022 Accepting new patients
Mindful Possibilities LLC Robert Corey Boes Sole MBR Clinical CurrentSince Jun 21, 2022 Accepting new patients

Locations

610 S Jennings Ave
Ste C
Fort Worth, TX 76104
Phone (817) 352-1876

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1245960616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E MORNINGSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047126",
            "telephone_number": "817-395-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S JENNINGS AVE STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043209",
            "telephone_number": "817-382-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "TOMAS",
        "name_suffix": "III",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103471",
            "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 Jan 27, 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.