Active NPI
Rickie Fleck, LCSW
- Clinical Social Worker
- Kyle, TX
National Provider Identifier
1982174579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59725
- Practice address
- 4360 Mather
Kyle, TX 78640 - Phone
- (512) 560-7138
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59725 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4360 Mather
Kyle, TX 78640
Mailing address
4360 Mather
Kyle, TX 78640-9288
Phone (512) 560-7138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2023.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1982174579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 MATHER",
"city": "KYLE",
"state": "TX",
"postal_code": "786409288",
"telephone_number": "512-560-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 MATHER",
"city": "KYLE",
"state": "TX",
"postal_code": "78640",
"telephone_number": "512-560-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECK",
"first_name": "RICKIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.