Individual provider Active NPI

Nona Perry, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1821847310
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69710 Issued in TX
Practice address
905 W Cantey St
Fort Worth, TX 76110-3205
Phone
(817) 382-1876
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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 69710 TX Primary

Addresses

Primary practice location

905 W Cantey St
Fort Worth, TX 76110-3205

Mailing address

905 W Cantey St
Fort Worth, TX 76110-3205
Phone (817) 382-1876

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241029000360 TX Practitioner - Clinical Social Worker 8729511837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Possibilities LLC Robert Corey Boes Sole MBRGroup PAC ID 9638541196, 4 clinicians

Practice addresses (Care Compare)

905 W Cantey St
Fort Worth, TX 76110-3205
Phone (817) 382-1876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69710TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Possibilities LLC Robert Corey Boes Sole MBR Clinical CurrentSince Oct 15, 2024 Accepting new patients

Locations

905 W Cantey St
Ft Worth, TX 76110
Phone (817) 382-1876

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1821847310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W CANTEY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103205",
            "telephone_number": "817-382-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W CANTEY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103205",
            "telephone_number": "817-382-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NONA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.