Individual provider Active NPI

Kayla Ash Sheffield, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1336888783
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60737 Issued in TX
Practice address
5668 Edwards Ranch Rd Ste 301
Fort Worth, TX 76109-4107
Phone
(877) 504-8504
Fax
(855) 420-6402
NPI assigned
Jun 2, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 60737 TX Primary

Addresses

Primary practice location

5668 Edwards Ranch Rd Ste 301
Fort Worth, TX 76109-4107

Mailing address

5668 Edwards Ranch Rd Ste 301
Fort Worth, TX 76109-4107
Phone (877) 504-8504

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
I20230914003148 TX Practitioner - Clinical Social Worker 8022472695 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers County Public Hospital District No 1 Current Accepting new patients
Chambers County Public Hospital District No 1 CurrentSince Aug 1, 2023 Accepting new patients
Chambers County Public Hospital District No. 1 CurrentSince Aug 1, 2023 Accepting new patients
Chambers County Public Hospital District No 1 Current Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1336888783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5668 EDWARDS RANCH RD STE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094107",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 EDWARDS RANCH RD STE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094107",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "KAYLA",
        "middle_name": "ASH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.