Individual provider Active NPI

Jonathan Cangiano

  • Clinical Social Worker
  • Decatur, TX
National Provider Identifier
1710734728
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106428 Issued in TX
Practice address
1602 W Business 380 Ste 100
Decatur, TX 76234-3267
Phone
(940) 539-0683
NPI assigned
May 6, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 106428 TX Primary

Addresses

Primary practice location

1602 W Business 380 Ste 100
Decatur, TX 76234-3267

Mailing address

602 W Business 380 Suite 100
Decatur, TX 76234

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251023000398 TX Practitioner - Clinical Social Worker 9638667488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1602 W Business
380 Suite 100
Decatur, TX 76234-3267

808 Silvermoon Dr
Little Elm, TX 75068-0137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106428TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Clinical Care Associates Clinical CurrentSince May 12, 2024 Accepting new patients
Center for Emotional Wellness, PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1602 W Business 380
Ste 100
Decatur, TX 76234
Phone (940) 539-0683

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1710734728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W BUSINESS 380 SUITE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W BUSINESS 380 STE 100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343267",
            "telephone_number": "940-539-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGIANO",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.