Individual provider Active NPI

Deidra Saina, LCSW

  • Clinical Social Worker
  • Willow Park, TX
National Provider Identifier
1932530201
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58439 Issued in TX
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

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.