Individual provider Active NPI

Shandreka Hall, DSW, LCSW

  • Clinical Social Worker
  • Burleson, TX
National Provider Identifier
1376284034
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59404 Issued in TX
Practice address
295 E Renfro St Ste 300
PMB 16830955
Burleson, TX 76028-3954
Phone
(682) 233-2415
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 59404 TX Primary
Social Worker 104100000X 59404 TX

Addresses

Primary practice location

295 E Renfro St Ste 300
PMB 16830955
Burleson, TX 76028-3954

Mailing address

295 E Renfro St Ste 300
PMB 16830955
Burleson, TX 76028-3954
Phone (682) 233-2415

Other names 1

  • Shandreka Thomas Former name

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
I20221108002786 TX Practitioner - Clinical Social Worker 1557738366 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
59404TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 10, 2024 Accepting new patients
Senior Psychological Care Dallas I, LLC Social Worker CurrentSince Oct 17, 2022 Accepting new patients
Nexgen Counseling & Consulting LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

295 E Renfro St
Ste 300
Burleson, TX 76028
Phone (817) 415-2250

5801 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 346-3030

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

1400 Black Hill Dr
Gainesville, TX 76240
Phone (855) 894-3130

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1376284034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E RENFRO ST STE 300",
            "address_2": "PMB 16830955",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283954",
            "telephone_number": "682-233-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E RENFRO ST STE 300",
            "address_2": "PMB 16830955",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283954",
            "telephone_number": "682-233-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHANDREKA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59404",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "59404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDREKA",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.