Individual provider Active NPI

Heather Marie Braun, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1255856316
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58478 Issued in TX
Practice address
6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Phone
(682) 312-8184
Fax
(817) 238-1232
NPI assigned
Aug 10, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 58478 TX Primary

Addresses

Primary practice location

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056

Mailing address

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Phone (682) 312-8184

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
58478TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Behavioral Health Center PLLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

6012 Reef Point Ln
Ste C
Fort Worth, TX 76135
Phone (682) 312-8184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255856316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "682-312-8184",
            "fax_number": "817-238-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "682-312-8184",
            "fax_number": "817-238-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58478",
            "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 Jul 21, 2022; 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.