Active NPI
Kathleen Holzaepfel, MSSW,LCSW-G, CMC
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1831406479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8407
- Practice address
- 855 Montgomery St
3Rd Floor
Fort Worth, TX 76107-2553 - Phone
- (817) 735-2200
- NPI assigned
- Sep 2, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8407 | TX | Primary |
Addresses
Primary practice location
855 Montgomery St
3Rd Floor
Fort Worth, TX 76107-2553
Mailing address
855 Montgomery St
3Rd Floor
Fort Worth, TX 76107-2553
Phone (817) 735-2200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8407 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Texas Health Science Center at Fort Worth | Past | Accepting new patients | |
| Senior Mental Health Solutions, LP | Clinical | Past | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1033181078
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1053416289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1831406479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MONTGOMERY ST",
"address_2": "3RD FLOOR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072553",
"telephone_number": "817-735-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MONTGOMERY ST",
"address_2": "3RD FLOOR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072553",
"telephone_number": "817-735-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZAEPFEL",
"first_name": "KATHLEEN",
"credential": "MSSW,LCSW-G, CMC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "8407",
"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 Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.