Active NPI
Kristopher Benjamin-Lee Colvin, LMSW
- Social Worker
- Fort Worth, TX
National Provider Identifier
1699564997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115814
- Practice address
- 1319 Summit Ave
Fort Worth, TX 76102-4431 - Phone
- (817) 647-4337
- NPI assigned
- May 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 115814 | TX | Primary |
Addresses
Primary practice location
1319 Summit Ave
Fort Worth, TX 76102-4431
Mailing address
8225 Calmont Ave Apt 1013
Fort Worth, TX 76116-3501
Phone (979) 220-6885
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 |
|---|---|---|---|
| 115814 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1699564997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 CALMONT AVE APT 1013",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761163501",
"telephone_number": "979-220-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 SUMMIT AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761024431",
"telephone_number": "817-647-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "KRISTOPHER",
"middle_name": "BENJAMIN-LEE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "115814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Columbia Plaza Medical Center of Fort Worth Subsidiary LP
- Columbia Plaza Medical Center of Fort Worth Subsidiary LP
- Columbia Plaza Medical Center of Fort Worth Subsidiary LP
- Heather Colvard
- Anjonette L Colvin, OD
- Emily Comans, CRNA
- Matthew A Comay, MD
- Shanna Marie Combs, MD
- Bethany L Comeau
- Comfort Care Medical Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.