Individual provider Active NPI

Natalie Fjellanger, LCSW

  • Clinical Social Worker
  • Waco, TX
National Provider Identifier
1851830376
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63676 Issued in TX
Practice address
110 S 12TH St
Waco, TX 76701-1810
Phone
(254) 752-3451
Fax
(254) 756-3133
NPI assigned
Feb 16, 2017
Last updated
Aug 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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 63676 TX Primary

Addresses

Primary practice location

110 S 12TH St
Waco, TX 76701-1810

Mailing address

1600 Providence Dr.
Waco, TX 76707-2261
Phone (254) 313-4200

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
I20170227000186 TX Practitioner - Clinical Social Worker 3173807831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000

600 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 313-6700

609 Elm Ave
Waco, TX 76704-2516
Phone (254) 313-6900

6500 Imperial Dr
Suite 200
Waco, TX 76712-3977
Phone (254) 313-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63676TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc CurrentSince May 19, 2018 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Jan 26, 2017 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince May 19, 2018 Accepting new patients
Heart of Texas Community Health Center, Inc. Past Accepting new patients
Heart of Texas Community Health Center, Inc Past Accepting new patients
Heart of Texas Community Health Center, Inc Past Accepting new patients
Heart of Texas Community Health Center, Inc. Past Accepting new patients

Locations

500 Johnson Dr
McGregor, TX 76657
Phone (254) 313-5200

600 S 25th St
Ste 115
Temple, TX 76504
Phone (254) 899-8650

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

1226 Washington Ave
Waco, TX 76701
Phone (254) 313-6300

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

1800 Gurley Ln
Waco, TX 76706
Phone (254) 313-6000

2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100

600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700

609 Elm Ave
Waco, TX 76704
Phone (254) 313-6900

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1851830376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR.",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 12TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011810",
            "telephone_number": "254-752-3451",
            "fax_number": "254-756-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELLANGER",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.