Individual provider Active NPI

Vicki Deumece Nunez, LCSW

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1306375399
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108425 Issued in TX
Practice address
3816 Clear Creek Rd
Killeen, TX 76549-4400
Phone
(719) 431-0971
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108425 TX Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

3816 Clear Creek Rd
Killeen, TX 76549-4400

Mailing address

14138 Hwy 195
Killeen, TX 76542-4850
Phone (254) 519-1144

Other practice location 1

14138 Hwy 195
Killeen, TX 76542-4850
Phone (254) 519-1144

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
I20221220001744 TX Practitioner - Clinical Social Worker 9335518018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

3816 Clear Creek Rd
Suite C301
Killeen, TX 76549-4107
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Jul 11, 2024 Accepting new patients
Lone Star Circle of Care PastSince Dec 1, 2022 Accepting new patients

Locations

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

3816 Clear Creek Rd
Ste C301
Killeen, TX 76549
Phone (254) 690-5847

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

3010 Scott Blvd
Ste 103
Temple, TX 76504
Phone (254) 773-4022

Interoperability endpoints

  • Direct secure messaging: vicki.nunez.p1@direct.lscctx.nextgenshare.com

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1306375399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14138 HWY 195",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424850",
            "telephone_number": "254-519-1144",
            "fax_number": "254-549-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "719-431-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14138 Hwy 195",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765424850",
            "country_code": "US",
            "telephone_number": "254-519-1144",
            "fax_number": "254-549-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "VICKI",
        "middle_name": "DEUMECE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108425",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.