Jamaika Jade Hughes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66992 Issued in TX

Practice address

2616 Tar Heel Dr
Fort Worth, TX 76123-1648

Phone

(682) 990-8507

NPI assigned

Jul 26, 2022

Reactivated

Aug 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gearup for Mental Health PLLC

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1114769148
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1558097121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 TAR HEEL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231648",
            "telephone_number": "817-941-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 TAR HEEL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231648",
            "telephone_number": "682-990-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Rosedale St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047400",
            "country_code": "US",
            "telephone_number": "817-941-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JAMAIKA",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "deactivation_date": "2022-07-26",
        "reactivation_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "66992",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEARUP FOR MENTAL HEALTH PLLC",
            "identifier": "992507475",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlece Hughes, D.O.
• Corey D Hughes, PT, DPT
• Dion Hughes
• Dustin Hughes
• Gwen N Hughes, CRNA
• Johnnie G Hughes, DC
• Jonathan Hughes, DO
• Jordan Hughes
• Kailee Marie Hughes, APRN
• Lisa Hughes, LVN

• 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 25, 2024; 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.