Jessica Clough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

67534 Issued in TX

Practice address

8376 Davis Blvd Ste 117
North Richland Hills, TX 76182-8949

Phone

(817) 646-0825

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heather D Perez LPC PLLCGroup PAC ID 9133568488, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heather D Perez LPC PLLC

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1851883961

  Clinical

  Medicare reassignment Care Compare group NPD
• Forging Freedom Counseling and Consulting, PLLC

  • Adult Mental Health Clinic/Center
  • North Richland Hills, TX
  • NPI 1932097441
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669290680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BERKLEY DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8376 DAVIS BLVD STE 117",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828949",
            "telephone_number": "817-646-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Anesthesia PLLC
• Daniel Adam Clearfield, DO
• Maggie Kate Clemmons
• Clinica Hispana North Richland Hills LLC
• Carolyn Jean Clontz, MS,LMFT
• Allison Cochran, FNP-C
• Brenda Coley, AU.D.
• Ashley Collazo
• Columbia North Hills Hospital Subsidiary LP
• Columbia North Hills Hospital Subsidiary LP

• Clinical Social Worker in North Richland Hills, TX
• Providers in North Richland Hills, 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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.