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SOUTHSTAR COUNSELING LLC
NPI 1487917274
Social Worker - Clinical in Fort Worth, TX

Active since June 18, 2012
4204 STAGHORN CIR N, FORT WORTH, TX 76137(817) 705-0543(817) 386-7623 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southstar Counseling Llc NPPES

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

SOUTHSTAR COUNSELING LLC (NPI 1487917274) is a healthcare organization registered as a clinical in Fort Worth, Texas and active in the NPI registry since June 2012. The organization lists Carl G Cordova, President, as its authorized official.

NPPES Registry Identity

NPI1487917274
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTHSTAR COUNSELING LLC
Location Address4204 STAGHORN CIR NFort Worth, TX 76137-1121
Mailing AddressPo Box 2512Fort Worth, TX 76113-2512 · (817) 705-0543 · Fax (817) 386-7623
Phone(817) 705-0543
Fax(817) 386-7623
Organization SubpartNo
Authorized OfficialCarl G CordovaPresident · (817) 705-0543
Enumeration DateJune 18, 2012
✔ NPI 1487917274 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 · 51542
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.
4204 STAGHORN CIR N, Fort Worth, TX 76137
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. CARL GARETH CORDOVA LCSW
Social Worker (Clinical)
4204 STAGHORN CIR N
FORT WORTH, TX 76137
Tarrant County (817) 846-3497

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 Southstar Counseling LLC's NPI number?

The NPI number for Southstar Counseling LLC is 1487917274. It was assigned to this organization in the NPPES registry on June 18, 2012.

Where is Southstar Counseling LLC located?

Southstar Counseling LLC is located at 4204 Staghorn Cir N, Fort Worth, TX 76137. The listed phone number is (817) 705-0543.

What is Southstar Counseling LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southstar Counseling LLC was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.