Erica Woodall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62789 Issued in TX

Practice address

3020 Broadmoor LN Ste 200
Flower Mound, TX 75022-2705

Phone

(940) 331-0505

Fax

(469) 645-2028

NPI assigned

Aug 7, 2023

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 16, 2024 through May 16, 2028

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erica Woodall Counseling, PLLC

  • Community/Behavioral Health Agency
  • Flower Mound, TX
  • NPI 1083497291
  NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1760164842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BROADMOOR LN STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222705",
            "telephone_number": "940-331-0505",
            "fax_number": "469-645-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BROADMOOR LN STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222705",
            "telephone_number": "940-331-0505",
            "fax_number": "469-645-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Wingo
• Carolyn M Wisler, MD
• Olivia Witt, DPT
• Whitney Wolff, DDS
• Morgan Hope Wood
• Lisa Jayne Woodcock, P.T.
• Caroline Ryan Woodruff
• Stevie Woods, M.S., LPC-A
• Emma Harvin Woodson
• Helen Denise Wooten, PSYD

• Clinical Social Worker in Flower Mound, TX
• Providers in Flower Mound, 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 Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.