NPIMap

Organization Active NPI

East Texas Case Management Referral Service

  • Social Worker
  • Longview, TX
National Provider Identifier
1306952064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26290 Issued in TX
Legal business name
EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE
Practice address
2300 Bill Owens Pkwy
#915
Longview, TX 75604-3033
Phone
(903) 295-0098
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey C. Allen, LBSW
Title
Owner/Director
Phone
(903) 295-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 26290 TX Primary

Addresses

Primary practice location

2300 Bill Owens Pkwy
#915
Longview, TX 75604-3033

Mailing address

2300 Bill Owens Pkwy
#915
Longview, TX 75604-3033
Phone (903) 295-0098

National Provider Directory

National Provider Directory
Tax ID family
East Texas Case Management Referral Service4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306952064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BILL OWENS PKWY",
            "address_2": "#915",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756043033",
            "telephone_number": "903-295-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BILL OWENS PKWY",
            "address_2": "#915",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756043033",
            "telephone_number": "903-295-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "903-295-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "26290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.