Individual provider Active NPI

Hannah Short, LCSW

  • Clinical Social Worker
  • Waco, TX
National Provider Identifier
1497347991
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65492 Issued in TX
Practice address
10412 China Spring Rd Ste F
Waco, TX 76708-5685
Phone
(832) 499-8933
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 65492 TX Primary

Addresses

Primary practice location

10412 China Spring Rd Ste F
Waco, TX 76708-5685

Mailing address

10412 China Spring Rd Ste F
Waco, TX 76708-5685
Phone (832) 499-8933

Other identifiers 1

IdentifierTypeStateIssuer
85-2514475OtherTXIRS

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
I20210316001632 TX Practitioner - Clinical Social Worker 6305252404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

101 Southwestern Blvd
Suite 290
Sugar Land, TX 77478-3548
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists (de), P.a. Clinical CurrentSince Nov 1, 2022 Accepting new patients
Supportive Care LLC CurrentSince Mar 1, 2021 Accepting new patients
Rooted & Nourished Psychotherapy, PLLC Current Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

1700 Woodgate Dr
Woodway, TX 76712
Phone (254) 420-1123

Organizations & group practices 3

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1497347991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 CHINA SPRING RD STE F",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085685",
            "telephone_number": "832-499-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 CHINA SPRING RD STE F",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085685",
            "telephone_number": "832-499-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "85-2514475",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.