Individual provider Active NPI

Carol Anne Darwin, M.S.S.W., LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1376634840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16732 Issued in TX
Practice address
7525 John T White Rd
Fort Worth, TX 76120-3311
Phone
(817) 429-4769
Fax
(817) 457-7906
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16732 TX Primary

Addresses

Primary practice location

7525 John T White Rd
Fort Worth, TX 76120-3311

Mailing address

7525 John T White Rd
Fort Worth, TX 76120-3311
Phone (817) 429-4769

Other identifiers 2

IdentifierTypeStateIssuer
26737OtherTXCIGNA BEHAVIORAL HEALTH
116752000OtherTXMAGELLAN/AETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16732TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Gift Enterprises Clinical Past Accepting new patients

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376634840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 JOHN T WHITE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761203311",
            "telephone_number": "817-429-4769",
            "fax_number": "817-457-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 JOHN T WHITE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761203311",
            "telephone_number": "817-429-4769",
            "fax_number": "817-457-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWIN",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "credential": "M.S.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "26737",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN/AETNA",
            "identifier": "116752000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.