Active NPI
Deidra Saina, LCSW
- Clinical Social Worker
- Willow Park, TX
National Provider Identifier
1932530201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58439
- Practice address
- 109 Manor CT N
Willow Park, TX 76087-3002 - Phone
- (817) 522-8263
- Fax
- (817) 441-1916
- NPI assigned
- Dec 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 58439 | TX | Primary |
Addresses
Primary practice location
109 Manor CT N
Willow Park, TX 76087-3002
Mailing address
269 Fawn RDG
Cibolo, TX 78108-4206
Phone (785) 341-6655
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1932530201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 FAWN RDG",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781084206",
"telephone_number": "785-341-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MANOR CT N",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760873002",
"telephone_number": "817-522-8263",
"fax_number": "817-441-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINA",
"first_name": "DEIDRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-11",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.