Rachael N Myers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61345 Issued in TX

Practice address

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206

Phone

(940) 208-7642

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Resolve Counseling Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southlake, TX
  • NPI 1851170732
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1912598632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37167 PANTON TER APT 3010",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361980",
            "telephone_number": "940-208-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "940-208-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RACHAEL",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://rachael-myers.clientsecure.me.",
            "affiliation": "N",
            "endpointDescription": "simple practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice Client Portal With Direct Messaging",
            "address_1": "4500 Mercantile Plaza Dr Ste 300",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761374206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Myers, LCSW
• Jacob Myers, PT, DPT
• Judy Marie Myers, O.D.
• Konnie Myers, SLP
• Olivia Lee Myers, MS, APRN, FNP-C
• Taylor Katherine Myers
• Myeuverse Iom LLC
• Myndfull Care Management Texas PA
• Myxray LLC
• Nahid Naaz, MD

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, 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 Jan 27, 2021; 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.