Individual provider Active NPI

Larry Joseph Hebert Sr., LMSW

  • Social Worker
  • Fort Worth, TX
National Provider Identifier
1922037555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
36884 Issued in TX
Practice address
2320 Cypress St
Fort Worth, TX 76102-6705
Phone
(817) 255-7125
Fax
(817) 255-7130
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 36884 TX Primary

Addresses

Primary practice location

2320 Cypress St
Fort Worth, TX 76102-6705

Mailing address

2223 Blue Water Dr
Apt 903
Arlington, TX 76010-6254
Phone (817) 860-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36884TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922037555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 BLUE WATER DR",
            "address_2": "APT 903",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106254",
            "telephone_number": "817-860-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CYPRESS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026705",
            "telephone_number": "817-255-7125",
            "fax_number": "817-255-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "LARRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "36884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.