Shelly Gwen Kalina, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66710 Issued in TX

Practice address

6300 John Ryan Dr
Fort Worth, TX 76132-4122

Phone

(817) 922-6000

Fax

(817) 922-5955

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Gladney

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1669658068
  NPD (past)

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1942922091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "817-922-6000",
            "fax_number": "817-922-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "817-922-6000",
            "fax_number": "817-922-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINA",
        "first_name": "SHELLY",
        "middle_name": "GWEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Kalam
• Vijay G. Kalaria, M.D.
• Paul Kaldas
• Munazzah Kaleem, MD
• Saige Kalichman
• Allison Paige Kalinich
• Maria Kallinikos
• Sonya Kallinikos, S.L.P.
• Triveni Anantharaman Kallur, M.D.
• Kalman Narayan, M.D., P.a.

• 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 Sep 11, 2024; 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.