Constance Denise Siegel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63561 Issued in TX

Practice address

8101 Boat Club Rd, 240 #335
Fort Worth, TX 76179-3631

Phone

(817) 694-2449

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Denton County MHMR Center

  • Psychiatry Physician
  • Denton, TX
  • NPI 1578551347
  Medicare reassignment NPD
• Denton County MHMR Center

  • Family Medicine Physician
  • Denton, TX
  • NPI 1932524824
  NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1750986659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD, 240 #335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793631",
            "telephone_number": "817-694-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD, 240 #335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793631",
            "telephone_number": "817-694-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "CONSTANCE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seraphima Sidhom, MD, MSC
• Harmanjot Kaur Sidhu
• Ishwinder Singh Sidhu, MD
• Shania Siebert
• Amanda Sieg, LPC
• Dajah Sieling
• Susan Anne Siemsen, RPA-C
• Sondra Renee Sien, LMFT-A
• Sierra Home Healthcare Services LLC
• Destinee Marie Sierra

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.