Active NPI
Dannata Mardell Thompson, LCSW
- Clinical Social Worker
- Fort Hood, TX
National Provider Identifier
1427376623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25001
- Practice address
- 36000 Darnall Loop
Credentials Office
Fort Hood, TX 76544-5095 - Phone
- (254) 286-7323
- Fax
- (254) 286-7188
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25001 | TX | Primary |
Addresses
Primary practice location
36000 Darnall Loop
Credentials Office
Fort Hood, TX 76544-5095
Mailing address
590 Medical Center Road
Fort Cavazos, TX 76544
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25001 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1427376623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER ROAD",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP",
"address_2": "CREDENTIALS OFFICE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "254-286-7323",
"fax_number": "254-286-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DANNATA",
"middle_name": "MARDELL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2024-08-29",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "25001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.