Individual provider Active NPI

Jodie Yblood, LMSW

  • Social Worker
  • Fort Worth, TX
National Provider Identifier
1316761182
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114681 Issued in TX
Practice address
500 E 4TH St Ste 250
Fort Worth, TX 76102-4078
Phone
(817) 381-6991
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 114681 TX Primary

Addresses

Primary practice location

500 E 4TH St Ste 250
Fort Worth, TX 76102-4078

Mailing address

7901 Birchwood Dr
North Richland Hills, TX 76180-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114681TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Brave Fight, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

500 E 4th St
Ste 250
Fort Worth, TX 76102
Phone (817) 381-6991

Organizations & group practices 1

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1316761182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BIRCHWOOD DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 4TH ST STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024078",
            "telephone_number": "817-381-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBLOOD",
        "first_name": "JODIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "114681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.