Individual provider Active NPI

Heather Menasco, LCSW

  • Clinical Social Worker
  • Lubbock, TX
National Provider Identifier
1619556990
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34741 Issued in TX
Practice address
9311 Primrose Ave
Lubbock, TX 79424-7700
Phone
(806) 939-4883
Fax
(806) 642-5506
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 34741 TX Primary

Addresses

Primary practice location

9311 Primrose Ave
Lubbock, TX 79424-7700

Mailing address

9311 Primrose Ave
Lubbock, TX 79424-7700
Phone (806) 939-4883

Other practice location 1

4412 74th St Ste F100
Lubbock, TX 79424-2316
Phone (806) 686-5865 ext. 605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221115002705 TX Practitioner - Clinical Social Worker 8628446101 Reassigns benefits to 1 organization
I20240321003755 VA Practitioner - Clinical Social Worker 8628446101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Menasco Therapy Services Clinical CurrentSince Jan 14, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Mar 7, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Apr 1, 2021 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Organizations & group practices 3

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1619556990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 PRIMROSE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247700",
            "telephone_number": "806-939-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 PRIMROSE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247700",
            "telephone_number": "806-939-4883",
            "fax_number": "806-642-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4412 74th St Ste F100",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794242316",
            "country_code": "US",
            "telephone_number": "806-686-5865 x605",
            "fax_number": "312-260-7996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENASCO",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.