Individual provider Active NPI

Jada Rene Stanton, LCSW

  • Clinical Social Worker
  • Waco, TX
National Provider Identifier
1295598357
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104152 Issued in TX
Practice address
1600 Providence Dr
Waco, TX 76707-2261
Phone
(254) 313-4200
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 104152 TX Primary

Addresses

Primary practice location

1600 Providence Dr
Waco, TX 76707-2261

Mailing address

148 Topaz Cir
Hewitt, TX 76643-2997
Phone (254) 723-6234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301003475 TX Practitioner - Clinical Social Worker 4789029521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Texas Community Health Center, Inc.Group PAC ID 1153370242, 106 clinicians

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104152TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc CurrentSince Feb 12, 2024 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
McLennan County Medical Education and Research Foundation Current Accepting new patients

Locations

1323 E Franklin St
Ste 105
Hillsboro, TX 76645
Phone (254) 582-7481

500 Johnson Dr
McGregor, TX 76657
Phone (254) 313-5200

600 S 25th St
Ste 115
Temple, TX 76504
Phone (254) 899-8650

600 S 25th St
Temple, TX 76504
Phone (254) 771-8200

405 Londonderry Dr
Ste 204
Waco, TX 76712
Phone (254) 313-1500

556 N Loop 340
Waco, TX 76705
Phone (254) 313-5400

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100

1226 Washington Ave
Waco, TX 76701
Phone (254) 313-6300

1800 Gurley Ln
Waco, TX 76706
Phone (254) 313-6000

1610 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700

120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500

609 Elm Ave
Waco, TX 76704
Phone (254) 313-6900

6500 Imperial Dr
Ste 200
Waco, TX 76712
Phone (253) 313-6600

Organizations & group practices 4

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1295598357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TOPAZ CIR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766432997",
            "telephone_number": "254-723-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "JADA",
        "middle_name": "RENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.