Nathaniel L Lightfoot-Cantrell, LCSW, LCDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107982 Issued in TX

Practice address

315 W McLain Dr
Sherman, TX 75092-2605

Phone

(903) 957-4869

Fax

(903) 957-3416

NPI assigned

Jun 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nathaniel L Lightfoot Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texoma Community Center

  • Psychiatry Physician
  • Sherman, TX
  • NPI 1851309462

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Mending Roots Therapy

  • Mental Health Counselor
  • Sherman, TX
  • NPI 1013608900
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1982197265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MCLAIN DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922605",
            "telephone_number": "903-957-4869",
            "fax_number": "903-957-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MCLAIN DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922605",
            "telephone_number": "903-957-4869",
            "fax_number": "903-957-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT-CANTRELL",
        "first_name": "NATHANIEL",
        "middle_name": "L",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "31573",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHANIEL",
            "last_name": "LIGHTFOOT",
            "middle_name": "L",
            "credential": "LCSW, LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shiwei Li, DO
• Lifechek Montgomery LP
• Lifelong Independence and Fitness Enrichment Center, Inc.
• Lifelong Independence and Fitness Enrichment Center, Inc.
• Lifetime Specialty Pharmacy LLC
• Kassi Leann Lightfoot, LCSW
• Lincare Inc.
• Hillary Lindsey, LM
• Vicky Smith Lindsey, LCSW
• Rachel Linton

• Clinical Social Worker in Sherman, TX
• Providers in Sherman, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.