Individual provider Active NPI

Kathleen Grace Hering, LCSW

  • Clinical Social Worker
  • Horseshoe Bay, TX
National Provider Identifier
1760299663
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107332 Issued in TX
Practice address
3340 State Highway 71 W
Horseshoe Bay, TX 78657-9657
Phone
(830) 637-7848
Fax
(830) 549-4819
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 107332 TX Primary

Addresses

Primary practice location

3340 State Highway 71 W
Horseshoe Bay, TX 78657-9657

Mailing address

316 San Saba St
Meadowlakes, TX 78654-7116
Phone (214) 662-3869

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

State licenses

LicenseStateTypeSpecialty
107332TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Camp Phoenix Clinical CurrentSince Dec 15, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1760299663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SAN SABA ST",
            "city": "MEADOWLAKES",
            "state": "TX",
            "postal_code": "786547116",
            "telephone_number": "214-662-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 STATE HIGHWAY 71 W",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786579657",
            "telephone_number": "830-637-7848",
            "fax_number": "830-549-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERING",
        "first_name": "KATHLEEN",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bay, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.