Individual provider Active NPI

Fariba Piroozmandi-Norgaard, LCSW

  • Clinical Social Worker
  • Mansfield, TX
National Provider Identifier
1841471836
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50561 Issued in TX
Practice address
2363 Highway 287 N Ste 207
Mansfield, TX 76063-7587
Phone
(817) 807-5082
NPI assigned
Nov 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 50561 TX Primary

Addresses

Primary practice location

2363 Highway 287 N Ste 207
Mansfield, TX 76063-7587

Mailing address

21306 82ND PL SE
Snohomish, WA 98290-7399
Phone (817) 807-5082

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
I20080505000780 TX Practitioner - Clinical Social Worker 9335040666 Practice locations: Mansfield, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2363 Hwy 287 N
Suite 207
Mansfield, TX 76063-7587
Phone (817) 807-5082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50561TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Behavioral Medicine Past 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": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1841471836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21306 82ND PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982907399",
            "telephone_number": "817-807-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 HIGHWAY 287 N STE 207",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637587",
            "telephone_number": "817-807-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIROOZMANDI-NORGAARD",
        "first_name": "FARIBA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.