Michelle De Vries, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65712 Issued in TX

Practice address

645 N Walnut Ave
New Braunfels, TX 78130-7925

Phone

(830) 730-6090

NPI assigned

Jan 26, 2022

Last updated

Jan 26, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inmindout Emotional Wellness Center, LLC

  • Psychologist
  • New Braunfels, TX
  • NPI 1457799330
  NPD

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1407508880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 WINTERSTEIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456366",
            "telephone_number": "951-901-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925",
            "telephone_number": "830-730-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VRIES",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie De la Fuente
• Alyssa De la Garza-Tamez
• Jonathan Neil De la Rosa, HT
• Daniel De Los Santos, M.D.
• Kimberly De Stefano, MD
• Gregory Michael Dearmond, M.D.
• Brandie Debacker
• Leandra Rene Debono, OD
• Deborah Carver MD PA
• Deborah L Melendez, MD, PA

• Clinical Social Worker in New Braunfels, TX
• Providers in New Braunfels, 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 Jan 26, 2022; 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.