Individual provider Active NPI

Indira Chrisman-Fewell, LCSW

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1902279490
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65988 Issued in TX
Practice address
9555 Lebanon Rd Ste 401
Frisco, TX 75035-6082
Phone
(833) 282-7378
Fax
(833) 329-4968
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 65988 TX Primary
Clinical Social Worker 1041C0700X 6639 OK

Addresses

Primary practice location

9555 Lebanon Rd Ste 401
Frisco, TX 75035-6082

Mailing address

PO Box 2211
Frisco, TX 75034-0040
Phone (833) 282-7378

Other practice location 1

2402 W Morton St Ste 144
Denison, TX 75020-1471
Phone (833) 282-7378

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
I20190807002007 TX Practitioner - Clinical Social Worker 5890032650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9555 Lebanon Rd
Suite 401
Frisco, TX 75035-6082
Phone (833) 282-7378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65988TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
CTCS Therapy CurrentSince May 1, 2019 Accepting new patients

Locations

9555 Lebanon Rd
Ste 401
Frisco, TX 75035
Phone (469) 840-5152

9555 Lebanon Rd
Frisco, TX 75035
Phone (833) 282-7378

Interoperability endpoints

  • Direct secure messaging: indirachrismanfewell@tdh.allscriptsdirect.net

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1902279490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2211",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340040",
            "telephone_number": "833-282-7378",
            "fax_number": "833-329-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 LEBANON RD STE 401",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356082",
            "telephone_number": "833-282-7378",
            "fax_number": "833-329-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 W Morton St Ste 144",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201471",
            "country_code": "US",
            "telephone_number": "833-282-7378",
            "fax_number": "833-329-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISMAN-FEWELL",
        "first_name": "INDIRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65988",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.