Paula St. John, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23592 Issued in TX

Practice address

2501 Forest Park Blvd
Suite 3
Fort Worth, TX 76110-2257

Phone

(817) 926-4462

Fax

(817) 367-0694

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528165339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 FOREST PARK BLVD",
            "address_2": "SUITE 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102257",
            "telephone_number": "817-926-4462",
            "fax_number": "817-367-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 FOREST PARK BLVD",
            "address_2": "SUITE 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102257",
            "telephone_number": "817-926-4462",
            "fax_number": "817-367-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "23592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy G St John, LCSW
• Diane St Pierre, ACNP
• Sierra St Valentine, MS, CCC-SLP
• St. Giles Living Centers, Inc.
• Nicole Elizabeth St. John, LMSW
• St. John's Residential Care Home Inc.
• Jewel St. Louis, LMSW
• Rebecca Ann St.Amant
• Candace St.Julian, MS, ATC, LAT
• Stability Physical Therapy, LLC

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.