Active NPI
Kayela Jenkins, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1649156878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61133
- Practice address
- 6115 Camp Bowie Blvd Ste 240
Fort Worth, TX 76116-5502 - Phone
- (682) 292-8515
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61133 | TX | Primary |
Addresses
Primary practice location
6115 Camp Bowie Blvd Ste 240
Fort Worth, TX 76116-5502
Mailing address
2204 Park Place Ave Ste B
Fort Worth, TX 76110-1234
Phone (682) 252-3830
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61133 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1649156878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 PARK PLACE AVE STE B",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101234",
"telephone_number": "682-252-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 CAMP BOWIE BLVD STE 240",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165502",
"telephone_number": "682-292-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KAYELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.