Excelsior Services and Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

54969 Issued in TX

Legal business name

EXCELSIOR SERVICES AND CONSULTING, LLC

Practice address

4929 Oasis CT Apt 2001
Euless, TX 76040-8745

Phone

(682) 247-7979

NPI assigned

Oct 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nealy Louis Jenkins Sr.NPI 1073915708

Title

LCSW

Phone

(682) 247-7979

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nealy Louis Jenkins, LCSW

  • Clinical Social Worker
  • Euless, TX
  • NPI 1073915708
  NPD Authorized official

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1861902678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 OASIS CT APT 2001",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760408745",
            "telephone_number": "682-247-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 OASIS CT APT 2001",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760408745",
            "telephone_number": "682-247-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR SERVICES AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "NEALY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "682-247-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Euless, TX
• Providers in Euless, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.