Individual provider Active NPI

Taylor Renee Cardenas, LCSW-S

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1730801325
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66061 Issued in TX
Practice address
4144 N Central Expy Ste 850
Dallas, TX 75204-3226
Phone
(512) 956-6463
Fax
(866) 653-5142
NPI assigned
Sep 12, 2022
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 66061 TX Primary

Addresses

Primary practice location

4144 N Central Expy Ste 850
Dallas, TX 75204-3226

Mailing address

520 W Buchanan St
Mineola, TX 75773-1622
Phone (701) 641-8321

Other identifiers 1

IdentifierTypeStateIssuer
66061OtherTXTEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS

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
I20221219002881 TX Practitioner - Clinical Social Worker 2961871694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

4144 N Central Expy
Suite 850
Dallas, TX 75204-3226
Phone (512) 956-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66061TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Feb 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 16, 2023 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Feb 18, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 16, 2023 Accepting new patients
Texas Health Virtual Care Current Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

4144 N Central Expy
Ste 850
Dallas, TX 75204
Phone (512) 298-4324

8350 N Central Expy
Ste 1900
Dallas, TX 75206
Phone (469) 942-9483

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 6

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1730801325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W BUCHANAN ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731622",
            "telephone_number": "701-641-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY STE 850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043226",
            "telephone_number": "512-956-6463",
            "fax_number": "866-653-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS",
            "identifier": "66061",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.