Active NPI
George Luis Rondon, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1437499928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50549
- Practice address
- 1814 8TH Ave Ste 4
Fort Worth, TX 76110-1354 - Phone
- (817) 769-0159
- NPI assigned
- Feb 21, 2013
- Last updated
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 50549 | TX | Primary |
Addresses
Primary practice location
1814 8TH Ave Ste 4
Fort Worth, TX 76110-1354
Mailing address
1814 8TH Ave Ste 4
Fort Worth, TX 76110-1354
Phone (817) 769-0159
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50549 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1437499928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 8TH AVE STE 4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101354",
"telephone_number": "817-769-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 8TH AVE STE 4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101354",
"telephone_number": "817-769-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDON",
"first_name": "GEORGE",
"middle_name": "LUIS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "50549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
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- Elora Ronaldes, M.ED., LPC-ASSOCIATE
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- Root and Ember Counseling PLLC
- Oddeth Root, MSN, RN-BC, NP
- Rooted Therapies, PLLC
- Rophe Wellness Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.