Individual provider Active NPI

Laura Garza, LCSW, LICSW, LCDC

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1477200236
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104825 Issued in TX
Practice address
6640 Babylon Blvd
Fort Worth, TX 76179-6227
Phone
(816) 442-0400
Fax
(817) 769-3595
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104825 TX Primary
Clinical Social Worker 1041C0700X 6801C AL
Clinical Social Worker 1041C0700X 36014 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 15697 TX

Addresses

Primary practice location

6640 Babylon Blvd
Fort Worth, TX 76179-6227

Mailing address

300 Decker Dr Ste 360
Irving, TX 75062-8189
Phone (816) 442-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801CALMDClinical Social Worker
104825TXMDClinical Social Worker
15697TXMDChiropractor
36014MNMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1477200236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DECKER DR STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628189",
            "telephone_number": "816-442-0400",
            "fax_number": "817-769-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 BABYLON BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796227",
            "telephone_number": "816-442-0400",
            "fax_number": "817-769-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "LAURA",
        "credential": "LCSW, LICSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104825",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6801C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "36014",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.