Active NPI
Russell Menard
- Clinical Social Worker
- Fort Cavazos,, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61212 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients | |
| Geode Health of Texas, PLLC | Current | 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
- 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.
-
- Psychiatry Physician
- Allen, TX
- NPI 1851037162
-
- Psychiatry Physician
- Allen, TX
- NPI 1790482834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.