Organization Active NPI

Stafford Healing Consultants, LLC

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1417433749
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63341 Issued in TX
Legal business name
STAFFORD HEALING CONSULTANTS, LLC
Practice address
3109 6TH Ave Ste B
Fort Worth, TX 76110-3800
Phone
(214) 674-0798
Fax
(682) 312-8313
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Mrs. Ashley Elizabeth Stafford, LCSWNPI 1336685346
Title
Owner
Phone
(214) 674-0798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 63341 TX Primary

Addresses

Primary practice location

3109 6TH Ave Ste B
Fort Worth, TX 76110-3800

Mailing address

3359 Cromart Ave
Fort Worth, TX 76133-1439
Phone (214) 674-0798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180904001711 TX Part B Supplier - Clinic/Group Practice 3971853458 Receives reassigned benefits from 1 practitioner
Practice locations: Hurst, TX

National Provider Directory

National Provider Directory

Locations

1550 Norwood Dr
Ste 313
Hurst, TX 76054
Phone (214) 674-0798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1417433749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 CROMART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331439",
            "telephone_number": "214-674-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "214-674-0798",
            "fax_number": "682-312-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD HEALING CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-674-0798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63341",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.