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ANN REVARD LCSW
NPI 1194996900
Social Worker - Clinical in Fort Worth, TX

Active since March 19, 2008PECOS EnrolledAccepts Medicare Assignment
1314 LAKE ST STE 102, FORT WORTH, TX 76102(817) 810-0030(817) 367-9615 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Oct 9, 2019 (2 updates tracked since 2019).

About Ann Revard Lcsw NPPES

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

ANN REVARD LCSW (NPI 1194996900) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (50949) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2002).

NPPES Registry Identity

NPI1194996900
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANN REVARDCredential: LCSW
Location Address1314 LAKE ST STE 102Fort Worth, TX 76102-4582
Mailing Address1314 Lake St Ste 102Fort Worth, TX 76102-4582 · (817) 810-0030 · Fax (817) 367-9615
Phone(817) 810-0030
Fax(817) 367-9615
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2002
Enumeration DateMarch 19, 2008
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1194996900 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 · 50949✔ Licensed in CA · 23021
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.
1314 LAKE ST STE 102, Fort Worth, TX 76102
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Other Identifiers 1

Medicaid193616302TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company 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 and accepts Medicare assignment

Ann Revard Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850451758
PECOS Enrollment IDI20081121000693
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 76102 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 $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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 Ann Revard's NPI number?

The NPI number for Ann Revard is 1194996900. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Ann Revard located?

Ann Revard practices at 1314 Lake St Ste 102, Fort Worth, TX 76102. The listed phone number is (817) 810-0030.

What is Ann Revard's specialty?

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

Is Ann Revard enrolled in Medicare?

Yes. Ann Revard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ann Revard accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare and 1 other insurer list Ann Revard 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 Ann Revard was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.