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KATHERINE MCCOY LCSW
NPI 1083202451
Social Worker - Clinical in Southlake, TX

Active since January 01, 2021Opted out of Medicare · through Oct 15, 2027
1500 CORPORATE CIR, SOUTHLAKE, TX 76092(817) 721-9330 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Katherine Mccoy Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE MCCOY LCSW (NPI 1083202451) is an individual clinical provider in Southlake, Texas, licensed in Texas (63661) and active in the NPI registry since January 2021. She has opted out of Medicare through October 15, 2027 and maintains a secondary practice location in Grapevine.

NPPES Registry Identity

NPI1083202451
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE MCCOYCredential: LCSW
Location Address1500 CORPORATE CIRSouthlake, TX 76092-5953
Mailing Address304 Gloria StKeller, TX 76248-2483 · (817) 721-9330
Phone(817) 721-9330
Sole ProprietorNo
Enumeration DateJanuary 1, 2021
NPPES CertifiedDecember 10, 2020
✔ NPI 1083202451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 63661
Definition
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.
1500 CORPORATE CIR, Southlake, TX 76092
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Secondary Practice Location 1

Location 12300 William D Tate AveGrapevine, TX 76051-3919 · Phone (817) 424-9013 ext. 1755

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine Mccoy Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2025 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2025
Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHERINE WORD BURTON M.A., LPC, LMFT
Counselor (Professional)
1500 CORPORATE CIR, SUITES 10 -11
SOUTHLAKE, TX 76092
Tarrant County (817) 416-0738
MARLA JAN KLEIN
Counselor (Mental Health)
1500 CORPORATE CIR
SOUTHLAKE, TX 76092
Tarrant County (817) 319-1224
KELLY CHEATHAM COUNSELING
Counselor (Professional)
1500 CORPORATE CIR, SUITE 4
SOUTHLAKE, TX 76092
Tarrant County (817) 228-1668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Mccoy's NPI number?

The NPI number for Katherine Mccoy is 1083202451. It was assigned to this individual provider in the NPPES registry on January 1, 2021.

Where is Katherine Mccoy located?

Katherine Mccoy practices at 1500 Corporate Cir, Southlake, TX 76092. The listed phone number is (817) 721-9330.

What is Katherine Mccoy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katherine Mccoy enrolled in Medicare?

No. Katherine Mccoy has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katherine Mccoy accept?

Health plans from Blue Cross and Blue Shield of Texas list Katherine Mccoy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Mccoy was last updated on January 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.