Organization Active NPI

Corewellness, LLC

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1275366791
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COREWELLNESS, LLC
Practice address
1820 Preston Park Blvd
Plano, TX 75093-3656
Phone
(214) 307-2649
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Newell-Watson, LCSWNPI 1639824899
Title
Founder
Phone
(662) 633-7710

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1820 Preston Park Blvd
Plano, TX 75093-3656

Mailing address

3200 Attala Road 4213
Sallis, MS 39160-5656

Other practice location 1

4780 I 55 N Ste 100-626
Jackson, MS 39211-5542
Phone (214) 307-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251008002884 MS Part B Supplier - Clinic/Group Practice 8022515717 Receives reassigned benefits from 1 practitioner
Practice locations: Sallis, MS

National Provider Directory

National Provider Directory

Locations

1820 Preston Park Blvd
Plano, TX 75093
Phone (210) 413-7479

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1275366791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ATTALA ROAD 4213",
            "city": "SALLIS",
            "state": "MS",
            "postal_code": "391605656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "214-307-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 I 55 N Ste 100-626",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392115542",
            "country_code": "US",
            "telephone_number": "214-307-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COREWELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "NEWELL-WATSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "662-633-7710",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.