Individual provider Active NPI

Jamie Denise Huckaby, LCSW

  • Clinical Social Worker
  • Sherman, TX
National Provider Identifier
1689371734
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67119 Issued in TX
Practice address
425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone
(903) 957-0082
Fax
(903) 957-0351
NPI assigned
Feb 9, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67119 TX Primary

Addresses

Primary practice location

425 N Highland Ave Ste 260
Sherman, TX 75092-7377

Mailing address

425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone (903) 957-0082

Other practice location 1

2001 Beach St Ste 530
Fort Worth, TX 76103-2313
Phone (903) 957-0082

Other practice location 2

1126 3rd St
Corpus Christi, TX 78404-2312
Phone (361) 462-4159

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

LicenseStateTypeSpecialty
67119TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Medical Management Associates PLLC Past Accepting new patients
DFW Physicians Medical Associates LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1689371734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Beach St Ste 530",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761032313",
            "country_code": "US",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1126 3rd St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042312",
            "country_code": "US",
            "telephone_number": "361-462-4159",
            "fax_number": "361-462-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUCKABY",
        "first_name": "JAMIE",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.