Individual provider Active NPI

Christopher Avila, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1417407883
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58350 Issued in TX
Practice address
1148 W Pioneer Pkwy Ste B
Arlington, TX 76013-6385
Phone
(682) 405-7689
Fax
(682) 231-9844
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 58350 TX Primary
Social Worker 104100000X 58350 TX

Addresses

Primary practice location

1148 W Pioneer Pkwy Ste B
Arlington, TX 76013-6385

Mailing address

1148 W Pioneer Pkwy Ste B
Arlington, TX 76013-6385
Phone (682) 405-7689

Other practice location 1

2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302
Phone (214) 329-9600

Other practice location 2

1202 E Arapaho Rd Ste 129
Richardson, TX 75081-2400
Phone (972) 696-9359

Other practice location 3

832 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 330-2488

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
58350TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Realistic Expectations, PLLC Social Worker 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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1417407883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W PIONEER PKWY STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136385",
            "telephone_number": "682-405-7689",
            "fax_number": "682-231-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W PIONEER PKWY STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136385",
            "telephone_number": "682-405-7689",
            "fax_number": "682-231-9844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Lakeside Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750824302",
            "country_code": "US",
            "telephone_number": "214-329-9600",
            "fax_number": "214-329-9235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 E Arapaho Rd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750812400",
            "country_code": "US",
            "telephone_number": "972-696-9359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "832 S Carrier Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "75051",
            "country_code": "US",
            "telephone_number": "214-330-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58350",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "58350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.