Active NPI
Callie Jeffries, LMSW
- Social Worker
- Killeen, TX
National Provider Identifier
1790438794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 65709
- Practice address
- 123 Yates Rd
Killeen, TX 76549-6757 - Phone
- (254) 432-4290
- NPI assigned
- Jan 31, 2022
- Last updated
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 65709 | TX | Primary |
Addresses
Primary practice location
123 Yates Rd
Killeen, TX 76549-6757
Mailing address
2015 US-190 Bus
Apt 103
Copperas, Cove, TX 76522-2546
Phone (254) 315-0205
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65709 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1790438794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 US-190 BUS",
"address_2": "APT 103",
"city": "COPPERAS, COVE",
"state": "TX",
"postal_code": "765222546",
"telephone_number": "254-315-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 YATES RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496757",
"telephone_number": "254-432-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES",
"first_name": "CALLIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "65709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.