Active NPI
Chantanel Hendricks
- Social Worker
- Big Spring, TX
National Provider Identifier
1659104545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 113689
- Practice address
- 300 Veterans Blvd
Big Spring, TX 79720-5566 - Phone
- (432) 263-7361
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 113689 | TX | Primary |
Addresses
Primary practice location
300 Veterans Blvd
Big Spring, TX 79720-5566
Mailing address
1670 N Hampton Rd Ste 106
Desoto, TX 75115-2389
Phone (972) 921-5712
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 |
|---|---|---|---|
| 113689 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1659104545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 N HAMPTON RD STE 106",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152389",
"telephone_number": "972-921-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VETERANS BLVD",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205566",
"telephone_number": "432-263-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "CHANTANEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "113689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Spring, TX
- Shawn Harris, FNP
- Health and Human Services Commission (Big Spring State Hospital)
- Health and Human Services Commission (Big Spring State Hospital)
- Health and Human Services Commission (Big Spring State Hospital)
- Susan R Henderson, C.O.T.A.
- Donna Gayle Hernandez, FNP-C
- Joanna Hernandez
- Andrew Richard Hickam III, LPC, LPA
- William Paul Hillger, D.C.
- Kayla Holguin, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.