MR. CARL GARETH CORDOVA LCSW
NPI 1700161502
Social Worker - Clinical in Fort Worth, TX

Active since October 12, 2011
4204 STAGHORN CIR N, FORT WORTH, TX 76137(817) 846-3497 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Carl Gareth Cordova Lcsw NPPES

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

MR. CARL GARETH CORDOVA LCSW (NPI 1700161502) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (51542) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1700161502
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CARL GARETH CORDOVACredential: LCSW
Location Address4204 STAGHORN CIR NFort Worth, TX 76137-1121
Mailing AddressPo Box 2512Fort Worth, TX 76113-2512 · (817) 846-3497
Sole ProprietorYes
Enumeration DateOctober 12, 2011
Last NPPES UpdateApril 5, 2012
NPI 1700161502 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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
4204 STAGHORN CIR N
FORT WORTH, TX 76137

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 Carl Cordova's NPI number?

The NPI number for Carl Cordova is 1700161502. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Where is Carl Cordova located?

Carl Cordova practices at 4204 Staghorn Cir N, Fort Worth, TX 76137. The listed phone number is (817) 846-3497.

What is Carl Cordova'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 Carl Cordova was last updated on April 5, 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.