Individual provider Active NPI

Kristin Lynne Dean, LCSW

  • Clinical Social Worker
  • Keller, TX
National Provider Identifier
1861262834
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56528 Issued in TX
Practice address
1668 Keller Pkwy Ste 400
Keller, TX 76248-3710
Phone
(817) 851-8609
NPI assigned
Jan 2, 2024
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 56528 TX Primary

Addresses

Primary practice location

1668 Keller Pkwy Ste 400
Keller, TX 76248-3710

Mailing address

12356 Fairway Meadows Dr
Fort Worth, TX 76179-6645
Phone (817) 851-8609

Other names 1

  • Kristin Lynne Carl Former name

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
I20250930003675 TX Practitioner - Clinical Social Worker 2466958384 Practice locations: Ft Worth, TX; Keller, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1211 S Main St
Suite 300a
Keller, TX 76248-0818
Phone (469) 333-6163

4150 International PLZ
Suite 125
Ft Worth, TX 76109-4825
Phone (469) 333-6163

PO Box
Suite 1278
Lincolnton, NC 28093

PO Box
Suite 94
Vale, NC 28168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Wells Counseling PLLC Clinical Past Accepting new patients
Centrepointe Counseling, Inc. Past Accepting new patients
Coram Deo Counseling, LLC Past Accepting new patients
Kristin Dean Mental Health PastSince May 15, 2025 Accepting new patients

Organizations & group practices 4

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1861262834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12356 FAIRWAY MEADOWS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796645",
            "telephone_number": "817-851-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 KELLER PKWY STE 400",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483710",
            "telephone_number": "817-851-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KRISTIN",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "CARL",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.