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CORAL FANTASIA MSW, LCSW
NPI 1114663945
Social Worker - Clinical in Cedar Park, TX

Active since May 05, 2022PECOS Enrolled
3000 POLAR LN STE 101, CEDAR PARK, TX 78613(844) 824-8775 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, May 5, 2022 (2 updates tracked since 2022).

About Coral Fantasia Msw, Lcsw NPPES

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

CORAL FANTASIA MSW, LCSW (NPI 1114663945) is an individual clinical provider in Cedar Park, Texas, licensed in Texas (113615) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114663945
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCORAL FANTASIACredential: MSW, LCSW
Location Address3000 POLAR LN STE 101Cedar Park, TX 78613-3065
Mailing Address3000 Polar Ln Ste 101Cedar Park, TX 78613-3065 · (844) 824-8775
Phone(844) 824-8775
Sole ProprietorNo
Enumeration DateMay 5, 2022
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1114663945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 113615✔ Licensed in NV · IC-1932
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.
3000 POLAR LN STE 101, Cedar Park, TX 78613
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coral Fantasia Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

MICHELLE G SUMMERS NCC, LPC-S
Counselor (Professional)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (844) 824-8775
DORINDA LINN LESCAULT LCSW
Social Worker (Clinical)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (844) 824-8775
COURTNEY PATARAY LCSW
Social Worker (Clinical)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (844) 824-8775
KATHERINE AILEEN RAYMOND APRN
Nurse Practitioner (Psychiatric/Mental Health)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (512) 203-6335
MS. CHRISTINA MARIE RAMIREZ LMFT
Marriage & Family Therapist
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (844) 824-8775
KYLA MIONE LPC
Counselor (Professional)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (844) 824-8775
NICOLE JENNIFER VAZOULAS LPC
Counselor (Professional)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (512) 201-4006
MR. PETER C SOO MD
Psychiatry & Neurology (Psychiatry)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Williamson County (844) 824-8775

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 Coral Fantasia's NPI number?

The NPI number for Coral Fantasia is 1114663945. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Coral Fantasia located?

Coral Fantasia practices at 3000 Polar Ln Ste 101, Cedar Park, TX 78613. The listed phone number is (844) 824-8775.

What is Coral Fantasia's specialty?

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

Is Coral Fantasia enrolled in Medicare?

Yes. Coral Fantasia is registered in the Medicare PECOS enrollment system.

What insurance does Coral Fantasia accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Coral Fantasia 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 Coral Fantasia was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.