William Leslie Farnum, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15217 Issued in TX

Practice address

1901 Veterans Memorial Dr.
Veterans Administration
Temple, TX 76504-0005

Phone

(903) 723-9006

NPI assigned

Oct 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1619203056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 BEDFORD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034616",
            "telephone_number": "903-534-5171",
            "fax_number": "903-534-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VETERANS MEMORIAL DR.",
            "address_2": "VETERANS ADMINISTRATION",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765040005",
            "telephone_number": "903-723-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNUM",
        "first_name": "WILLIAM",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "0701",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "15217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishath Aliman Farhad, D.O.
• Debra A Fariss, MSCCC/SLP
• Madeline Rebecca Farmer, MD
• Susan Carol Farmer, MOT OTR L
• Robert Farnham
• Amanda C Farris, D.O.
• Asfia Fatima, MD
• Holly Mead Fatter, M.D.
• Kim R. Faulkenburg, M.A., CCC-A
• Rebekah Gayle Faulkinberry, MS, CCC/SLP

• Clinical Social Worker in Temple, TX
• Providers in Temple, 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 Oct 20, 2009; 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.