Active NPI
Mary Elizabeth Orndorff, LCSW
- Clinical Social Worker
- Hurst, TX
National Provider Identifier
1881830388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09697
- Practice address
- 1244 Karla Dr
Hurst, TX 76053-4435 - Phone
- (817) 285-6002
- Fax
- (817) 759-0990
- NPI assigned
- Jan 5, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9697 | TX | |
| Professional Counselor | 101YP2500X | 9697 | TX | |
| Clinical Social Worker | 1041C0700X | 09697 | TX | Primary |
Addresses
Primary practice location
1244 Karla Dr
Hurst, TX 76053-4435
Mailing address
2036 W Lotus Ave
Fort Worth, TX 76111-1617
Phone (817) 834-3462
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, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
951 W Pipeline Rd
Suite 101
Hurst, TX 76053-4834
Phone (630) 426-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9697 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaves Health Partners PLLC | Clinical | Current | Accepting new patients |
| Assurasource LTD | Professional | Past | Accepting new patients |
Locations
951 W Pipeline Rd
Ste 101
Hurst, TX 76053
Phone (630) 426-3627
Organizations & group practices 2
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": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1881830388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 W LOTUS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761111617",
"telephone_number": "817-834-3462",
"fax_number": "817-759-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 KARLA DR",
"city": "HURST",
"state": "TX",
"postal_code": "760534435",
"telephone_number": "817-285-6002",
"fax_number": "817-759-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNDORFF",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "9697",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9697",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "09697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.