Active NPI
Melinda Kay Thornton, LCSW
- Clinical Social Worker
- Mineral Wells, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34113
- Practice address
- 3141 FM 2256
Mineral Wells, TX 76067-1011 - Phone
- (940) 452-7189
- NPI assigned
- May 11, 2011
- 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 | 34113 | TX | Primary |
Addresses
Primary practice location
3141 FM 2256
Mineral Wells, TX 76067-1011
Mailing address
3141 FM 2256
Mineral Wells, TX 76067-1011
Phone (940) 452-7189
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230721003063 | TX | Practitioner - Clinical Social Worker | 3870953847 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34113 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Dallas I, LLC | Clinical | Current | Accepting new patients |
Locations
9009 Forest Ln
Dallas, TX 75243
Phone (972) 783-1771
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
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": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1861784787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 FM 2256",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760671011",
"telephone_number": "940-452-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 FM 2256",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760671011",
"telephone_number": "940-452-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "MELINDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "34113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.