NPIMap

Organization Active NPI

East Texas Case Management Referral Service

  • Social Worker
  • Longview, TX
National Provider Identifier
1366611725
Registry record updated Feb 29, 2008
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 Parkway
915
Longview, TX 75604
Phone
(903) 295-0098
Fax
(903) 295-0098
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Jeff Allen
Title
Director/Owner/Case Manager
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 Parkway
915
Longview, TX 75604

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
251B00000XMedicaidTX

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1366611725",
    "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",
            "fax_number": "903-295-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BILL OWENS PARKWAY",
            "address_2": "915",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "903-295-0098",
            "fax_number": "903-295-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR/OWNER/CASE MANAGER",
        "authorized_official_telephone_number": "903-295-0098"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "26290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251B00000X",
            "state": "TX"
        }
    ],
    "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 Feb 29, 2008; 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.