Active NPI
Anna Victoria Vaught, LCSW-C
- Clinical Social Worker
- McKinney, TX
National Provider Identifier
1417554569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69649
- Practice address
- 3128 Hudson Xing Ste 1
McKinney, TX 75070-6556 - Phone
- (240) 593-3600
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20246 | MD | |
| Clinical Social Worker | 1041C0700X | 69649 | TX | Primary |
Addresses
Primary practice location
3128 Hudson Xing Ste 1
McKinney, TX 75070-6556
Mailing address
505 E Exchange Pkwy Apt 6201
Allen, TX 75002-1751
Phone (240) 593-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966
2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69649 | TX | MD | Professional Counselor |
Organizations & group practices 2
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": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623542400000",
"number": "1417554569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E EXCHANGE PKWY APT 6201",
"city": "ALLEN",
"state": "TX",
"postal_code": "750021751",
"telephone_number": "240-593-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3128 HUDSON XING STE 1",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706556",
"telephone_number": "240-593-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHT",
"first_name": "ANNA",
"middle_name": "VICTORIA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2021-06-13",
"certification_date": "2021-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20246",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "69649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.