Individual provider Active NPI

Angelica Jasmine Loeravasquez, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1700747615
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106509 Issued in TX
Practice address
6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Phone
(682) 312-8184
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 106509 TX Primary

Addresses

Primary practice location

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056

Mailing address

645 Bent Oak Dr
Fort Worth, TX 76131-4231
Phone (210) 621-8631

Other practice location 1

645 Bent Oak Dr
Fort Worth, TX 76131-4231
Phone (210) 621-8631

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
106509TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Behavioral Health Center PLLC CurrentSince Nov 24, 2025 Accepting new patients
The Oaks Life Center, PLLC Clinical CurrentSince Nov 24, 2025 Accepting new patients

Locations

6012 Reef Point Ln
Ste C
Fort Worth, TX 76135
Phone (682) 312-8184

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1700747615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BENT OAK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314231",
            "telephone_number": "210-621-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "682-312-8184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Bent Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761314231",
            "country_code": "US",
            "telephone_number": "210-621-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOERAVASQUEZ",
        "first_name": "ANGELICA",
        "middle_name": "JASMINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106509",
            "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 Nov 20, 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.

Verify at the official NPI Registry.