Active NPI
Kadijah Templeton
- Clinical Social Worker
- Longview, TX
National Provider Identifier
1740862192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112149
- Practice address
- 1130 E Hawkins Pkwy
Longview, TX 75605-8002 - Phone
- (903) 917-7546
- NPI assigned
- Apr 26, 2021
- Last updated
- Oct 21, 2026
- 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 | 112149 | TX | Primary |
Addresses
Primary practice location
1130 E Hawkins Pkwy
Longview, TX 75605-8002
Mailing address
1130 E Hawkins Pkwy Apt 6101
Longview, TX 75605-8096
Phone (903) 917-7546
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methadone Clinic of East Texas LLC | Current | Accepting new patients | |
| Foundations Senior Service Inc | Past | Accepting new patients |
Locations
1510 S Vine Ave
Tyler, TX 75701
Phone (903) 526-4055
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.
-
dba Crossroads Treatment Centers Tyler
- Methadone Clinic
- Tyler, TX
- NPI 1104144088
-
dba Foundations Senior Service
- Home Health Agency
- Campbell, TX
- NPI 1124704622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1740862192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 E HAWKINS PKWY APT 6101",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756058096",
"telephone_number": "903-917-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 E HAWKINS PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756058002",
"telephone_number": "903-917-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLETON",
"first_name": "KADIJAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "112149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
- Tracy Hunter Taylor, APRN, PMHNP-BC
- Brittney Teafatiller
- Tee Jays Enterprise LLC, Dba All N One Lab (All N One Lab)
- Brianna Renee Teel, M.D.
- Timothy William Teel, D.O.
- Elizabeth Hope Terry, APRN, FNP-BC
- Texas Home Health Hospice, L.P. (AccentCare Hospice & Palliative Care of Texas)
- Texas Home Health Skilled Services, LP (AccentCare Home Health of Texas)
- Texas Physician Services, PLLC
- Texas Primary Care Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.