MR. JACK LOREN LEVENS (NPI# 1790713642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790713642 |
| Entity Type | Individual |
| Full Name | MR. JACK LOREN LEVENS |
| Credential | LCSW |
| Practice Address |
3745 Canyon Heights Rd Belton TX 76513-5137 |
| Practice Telephone | 2546818919 |
| Mailing Telephone | 2546818919 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S20968 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE PROVIDER NUMBER | 247611 | 01 |
| TX | 1485062-01 | 05 |
| Street Address |
3745 CANYON HEIGHTS RD |
| City | BELTON |
| State | TX |
| Zip Code | 76513-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460405 | Monique Roberts | Physical Therapist | 1008 Arbor Park Dr Suite B, Belton, TX 76513 | 2020-09-07 |
| 1821621418 | Shannon Alexis Marek | Specialist/Technologist | 624 Tiger Dr, Belton, TX 76513 | 2020-02-21 |
| 1174189732 | Bobby Bruce | Nurse Practitioner | 123 E 9th Ave, Belton, TX 76513 | 2019-05-19 |
| 1811475643 | Elizabeth Irma Scott | Dentist | 412 Lake Rd, Belton, TX 76513 | 2018-08-03 |
| 1235677519 | Bell County Adult & Child Therapies, Pllc | Clinic/Center | 4408 Windbell Drive Belton, Belton, TX 76513 | 2017-02-07 |
| 1679953509 | Jayne Jennings Dunlap | Nurse Practitioner | 1001 Arbor Park Drive, Belton, TX 76513 | 2015-06-05 |
| 1013396464 | Cynthia Hodges | Counselor | 19 Cottonwood Loop, Belton, TX 76513 | 2015-05-19 |
| 1740682467 | Belton Pediatric Dental Pllc | Dentist | 412 Lake Belton Rd, Belton, TX 76513 | 2014-09-25 |
| 1447668637 | Joella Racheal Gibbs-stiles | Nurse Practitioner | 2210 Holland Rd, Belton, TX 76513 | 2014-07-31 |
| 1851622641 | Central Texas Oxygen 24/7 | Durable Medical Equipment & Medical Supplies | 1686 Morgans Point Rd., Morgans Point Resort, TX 76513 | 2010-01-19 |
| Find all providers in zip 76513 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431651 | Jessica Moscicki | Social Worker | 2405 S Loop 121, Belton, TX 76513-3336 | 2020-06-10 |
| 1851831440 | Herman Greenfield | Social Worker | 2 E Aztec Ln, Belton, TX 76513-6603 | 2017-03-01 |
| 1730437112 | Randy Pittenger | Social Worker | 292 Woodland Trl, Belton, TX 76513-6221 | 2012-08-16 |
| 1255654273 | Margaret C Kaelin | Social Worker | 3622 Three Forks Rd, Belton, TX 76513-7788 | 2010-03-04 |
| 1073835419 | Raymond Aleman | Social Worker | 121 N East St, Belton, TX 76513-3219 | 2010-02-26 |
| 1003144163 | Teresa Kay Oldham | Social Worker | 80 Morgan's Point Rd., Suite 105, Belton, TX 76513 | 2009-12-01 |
| 1376745943 | Tracey Ann Siemens | Social Worker | 19914 S Cable Rd, Belton, MO 64012-3622 | 2007-06-04 |
| 1093892978 | Shelia Baker Haisler | Social Worker | 739 Estate Dr, Belton, TX 76513-1205 | 2006-10-31 |
| 1902811813 | Richard Allan Stillman | Social Worker | 1901 S. First St., Belton, TX 76504 | 2006-07-29 |
| 1881625317 | Beverly Ruth Travis | Social Worker | 114 E 6th Ave, Belton, TX 76513-2651 | 2006-07-05 |
| Find all providers in BELTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.