Individual provider Active NPI

Joseph Daniel Bruce, LCSW

  • Clinical Social Worker
  • Venus, TX
National Provider Identifier
1508984758
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17673 Issued in TX
Practice address
3200 Mesquite Dr
Venus, TX 76084-3279
Phone
(817) 300-4073
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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 17673 TX Primary

Addresses

Primary practice location

3200 Mesquite Dr
Venus, TX 76084-3279

Mailing address

3200 Mesquite Dr
Venus, TX 76084-3279
Phone (817) 300-4073

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
I20151014001339 TX Practitioner - Clinical Social Worker 1557670585 Reassigns benefits to 1 organization
Practice locations: Venus, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1785 State Hwy 26
Suite 200
Grapevine, TX 76051-2217
Phone (817) 300-4073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Care Solution Services Clinical CurrentSince Nov 27, 2019 Accepting new patients

Locations

1701 W Northwest Hwy
Ste 100
Grapevine, TX 76051
Phone (817) 416-1235

1785 State Highway 26
Ste 200
Grapevine, TX 76051
Phone (817) 300-4073

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1508984758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MESQUITE DR",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760843279",
            "telephone_number": "817-300-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MESQUITE DR",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760843279",
            "telephone_number": "817-300-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venus, TX

Sources for this page

Verify at the official NPI Registry.