Kasey Shaw Salyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62393 Issued in TX

Practice address

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056

Phone

(806) 543-9287

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kasey Shaw Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Salyer Counseling Group, PLLC

  • Mental Health Counselor
  • Pantego, TX
  • NPI 1093317802
  Medicare reassignment NPD Authorized official
• Journey Behavioral Health Center PLLC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1285400424
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1396228524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 W PIONEER PKWY STE H",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134516",
            "telephone_number": "682-587-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "806-543-9287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8621 MidCities Blvd,",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "76182",
            "country_code": "US",
            "telephone_number": "682-312-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW SALYER",
        "first_name": "KASEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "SHAW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gordon Patterson Sharratt, D.O.
• Laura E Sharratt, DO
• Kavitha Shashikumar, M.D.
• David Nathan Shau, MD
• Elizabeth Shaver
• Aaron Ivy Shaw, DO
• Candice Tyan Shaw, OT, BCBA
• Carl R Shaw, MD
• Daphne Nizza Shaw, M.D.
• Jessica R Shaw, AGACNP-BC

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.