Individual provider Active NPI

Ryan Nodurft, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1316334352
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52781 Issued in TX
Practice address
6363 Forest Park Rd
7TH Floor Suite 749
Dallas, TX 75390-9121
Phone
(214) 645-8500
Fax
(214) 645-3775
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2017

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 52781 TX Primary

Addresses

Primary practice location

6363 Forest Park Rd
7TH Floor Suite 749
Dallas, TX 75390-9121

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-0624

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
I20150526001531 TX Practitioner - Clinical Social Worker 8022338458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52781TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physicians Group CurrentSince Oct 3, 2025 Accepting new patients
Connections Wellness Group CurrentSince Aug 31, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

4907 S Collins St
Ste 121
Arlington, TX 76018
Phone (817) 417-9001

7290 Virginia Pkwy
Ste 2100
McKinney, TX 75071

6101 W Plano Pkwy
Ste 230
Plano, TX 75093
Phone (469) 613-3390

6101 W Plano Pkwy
Ste 240
Plano, TX 75093
Phone (469) 312-2107

Organizations & group practices 3

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487462400000",
    "number": "1316334352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-0624",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FOREST PARK RD",
            "address_2": "7TH FLOOR SUITE 749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909121",
            "telephone_number": "214-645-8500",
            "fax_number": "214-645-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODURFT",
        "first_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2017-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.