Active NPI
Angelica Jasmine Loeravasquez, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1700747615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106509
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 106509 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Behavioral Health Center PLLC | Current | Accepting new patients | |
| The Oaks Life Center, PLLC | Clinical | Current | 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.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1285400424
-
- Clinical Social Worker
- Fort Worth, TX
- NPI 1588036370
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.