Active NPI
Vicki Deumece Nunez, LCSW
- Clinical Social Worker
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108425
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
| Lone Star Circle of Care | Past | 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
- 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.
-
dba LifeStance Health
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Clinical
-
dba Lone Star Circle of Care at Georgetown Dental
- Federally Qualified Health Center (FQHC)
- Georgetown, TX
- NPI 1639129331
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.