Active NPI
Natalie Fjellanger, LCSW
- Clinical Social Worker
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 63676
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63676 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Community Health Center, Inc | Current | Accepting new patients | |
| Heart of Texas Community Health Center Inc | Current | Accepting new patients | |
| Heart of Texas Region MHMR Center | Current | Accepting new patients | |
| Heart of Texas Community Health Center, Inc. | Current | 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.
-
dba Waco Family Medicine - Madison Cooper
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1568191492
-
dba Heart of Texas Behavioral Health Network
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waco, TX
- NPI 1639399132
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1164409926
-
- Federally Qualified Health Center (FQHC)
- Temple, TX
- NPI 1992685218
-
dba Meyer Community Clinic
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1457671984
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1518136456
-
dba Waco Family Medicine - Santa Fe
- Federally Qualified Health Center (FQHC)
- Temple, TX
- NPI 1306234521
-
dba Community Clinic at MCC
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1942584255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.