Individual provider Active NPI

Dena Nicole Edmondson, LCSW

  • Clinical Social Worker
  • Fort Hood, TX
National Provider Identifier
1972272425
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69571 Issued in TX
Practice address
Carl R Darnell Army Medical Center
36065 Sante Fe Ave
Fort Hood, TX 76544
Phone
(254) 319-4515
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 69571 TX Primary

Addresses

Primary practice location

Carl R Darnell Army Medical Center
36065 Sante Fe Ave
Fort Hood, TX 76544

Mailing address

Carl R Darnell Army Medical Center
36065 Sante Fe Ave
Fort Hood, TX 76544

Other identifiers 1

IdentifierTypeStateIssuer
69571OtherTXTEXAS BOARD OF SOCIAL WORK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dena.n.edmondson.civ@mail.mil Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615002725 TX Practitioner - Clinical Social Worker 1254799729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mesquite Psychotherapy and Consulting PLLCGroup PAC ID 5395131999, 5 clinicians

Practice addresses (Care Compare)

507 Denali Pass
Suite 601
Cedar Park, TX 78613-7980
Phone (512) 284-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69571TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Mesquite Psychotherapy and Consulting PLLC Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

507 Denali Pass
Ste 601
Cedar Park, TX 78613
Phone (512) 284-7077

555 Round Rock West Dr
Ste E201
Round Rock, TX 78681
Phone (440) 344-1481

555 Round Rock West Dr
Round Rock, TX 78681
Phone (512) 730-9383

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1972272425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARL R DARNELL ARMY MEDICAL CENTER",
            "address_2": "36065 SANTE FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARL R DARNELL ARMY MEDICAL CENTER",
            "address_2": "36065 SANTE FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-319-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "DENA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF SOCIAL WORK",
            "identifier": "69571",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dena.n.edmondson.civ@mail.mil",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Carl R Darnell Army Medical Center",
            "address_2": "36065 Sante Fe Ave",
            "city": "Fort Hood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.