Individual provider Active NPI

Pamela C. Kleespies, LCSW

  • Social Worker
  • North Richland Hills, TX
National Provider Identifier
1508989658
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
42170 Issued in TX
Practice address
6051 Davis Blvd
821277
North Richland Hills, TX 76180-6385
Phone
(817) 851-2042
Fax
(817) 405-3364
NPI assigned
Apr 6, 2007
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 42170 TX Primary

Addresses

Primary practice location

6051 Davis Blvd
821277
North Richland Hills, TX 76180-6385

Mailing address

4801 Gaylewood CT
Arlington, TX 76017-2133
Phone (817) 371-2718

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42170TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Kids Care Social Worker PastSince Jun 22, 2021 Accepting new patients

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, 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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1508989658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GAYLEWOOD CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172133",
            "telephone_number": "817-371-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 DAVIS BLVD",
            "address_2": "821277",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806385",
            "telephone_number": "817-851-2042",
            "fax_number": "817-405-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEESPIES",
        "first_name": "PAMELA",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "42170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.