Individual provider Active NPI

Russell Menard

  • Clinical Social Worker
  • Fort Cavazos,, TX
National Provider Identifier
1376632216
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
590 Medical Center Road
Fort Cavazos,, TX 76544
Phone
(254) 618-8837
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 61212 TX
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

590 Medical Center Road
Fort Cavazos,, TX 76544

Mailing address

BLDG 415
Corner of 31St St and 761St Tank BN
Fort Cavazos, TX 76544
Phone (254) 618-8837

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
I20250505001115 TX Practitioner - Clinical Social Worker 2860919842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1600
Round Rock, TX 78681-4307
Phone (512) 588-1439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61212TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Geode Clinicians of Texas PLLC CurrentSince Sep 1, 2025 Accepting new patients
Geode Health of Texas, PLLC CurrentSince Apr 29, 2025 Accepting new patients

Locations

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7200 Wyoming Springs Dr
Ste 1600
Round Rock, TX 78681
Phone (512) 244-3554

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: russell.menard.1@25899.direct.athenahealth.com

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1376632216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 415",
            "address_2": "CORNER OF 31ST ST AND 761ST TANK BN",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-618-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT CAVAZOS,",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-618-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61212",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Cavazos,, TX

Sources for this page

Verify at the official NPI Registry.