Individual provider Active NPI

John Willis Ward, MSW, LCSW

  • Clinical Social Worker
  • Waco, TX
National Provider Identifier
1497427868
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62547 Issued in TX
Practice address
5002 Lakeland Cir Ste B
Waco, TX 76710-2900
Phone
(254) 401-5781
Fax
(254) 822-6162
NPI assigned
Oct 4, 2021
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 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 62547 TX Primary

Addresses

Primary practice location

5002 Lakeland Cir Ste B
Waco, TX 76710-2900

Mailing address

5002 Lakeland Cir Ste B
Waco, TX 76710-2900
Phone (254) 401-5781

Other practice location 1

510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076
Phone (254) 262-3506

Other practice location 2

1700 Breezy Dr Apt 178
Waco, TX 76712-8246
Phone (501) 253-2413

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
I20240205000365 TX Practitioner - Clinical Social Worker 6103269469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62547TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Neurofeedback & Counseling Services, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Victory Spinal Care Waco LLC CurrentSince Apr 1, 2025 Accepting new patients
Kristy M Donaldson Past Accepting new patients

Locations

3500 Hillcrest Dr
Ste 8
Waco, TX 76708
Phone (254) 262-3506

5002 Lakeland Cir
Ste B
Waco, TX 76710
Phone (254) 296-1325

510 N Valley Mills Dr
Ste 304
Waco, TX 76710
Phone (254) 262-3506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1497427868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 LAKELAND CIR STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102900",
            "telephone_number": "254-401-5781",
            "fax_number": "254-822-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 LAKELAND CIR STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102900",
            "telephone_number": "254-401-5781",
            "fax_number": "254-822-6162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 N Valley Mills Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767106076",
            "country_code": "US",
            "telephone_number": "254-262-3506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Breezy Dr Apt 178",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128246",
            "country_code": "US",
            "telephone_number": "501-253-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JOHN",
        "middle_name": "WILLIS",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.