Individual provider Active NPI

Leticia L Cavazos, DSW, LCSW, LCDC

  • Clinical Social Worker
  • Addison, TX
National Provider Identifier
1457924169
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56835 Issued in TX
Practice address
15620 Quorum Dr
Addison, TX 75001-3338
Phone
(214) 267-9556
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 56835 TX Primary

Addresses

Primary practice location

15620 Quorum Dr
Addison, TX 75001-3338

Mailing address

15620 Quorum Dr
Addison, TX 75001-3338
Phone (214) 267-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000807 TX Practitioner - Clinical Social Worker 8729465786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannenta Center for Healing and Empowerment LLCGroup PAC ID 9739566795, 3 clinicians
Los Barrios Unidos Community Clinic, Inc.Group PAC ID 6103801881, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

351 W Jefferson Blvd
Suite 302
Dallas, TX 75208-4859
Phone (214) 267-8946

809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56835TXMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: leticia.cavazos@hhm.eclinicaldirectplus.com
  • Direct secure messaging: leticia.cavazos.p1@direct.lbucc.nextgenshare.com

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1457924169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 QUORUM DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013338",
            "telephone_number": "214-267-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 QUORUM DR",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013338",
            "telephone_number": "214-267-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "LETICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.