Organization Active NPI

Cancer Care Services

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1760934145
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37630 Issued in TX
Legal business name
CANCER CARE SERVICES
Practice address
623 S Henderson St
Fort Worth, TX 76104-2920
Phone
(817) 921-0653
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Ms. Catherine Ann Presley, LCSWNPI 1417409780
Title
Clinic Social Worker/Hood County
Phone
(682) 936-4050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37630 TX Primary

Addresses

Primary practice location

623 S Henderson St
Fort Worth, TX 76104-2920

Mailing address

8106 Melrose St E
Fort Worth, TX 76108-2414
Phone (817) 932-4745

National Provider Directory

National Provider Directory

Locations

623 S Henderson St
Ft Worth, TX 76104
Phone (817) 435-9016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1760934145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 MELROSE ST E",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761082414",
            "telephone_number": "817-932-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042920",
            "telephone_number": "817-921-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC SOCIAL WORKER/HOOD COUNTY",
        "authorized_official_telephone_number": "682-936-4050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "37630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.