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LAKESHA STIDUM
NPI 1891107660
Social Worker - Clinical in Fort Worth, TX

Active since May 28, 2014PECOS Enrolled
101 NEW YORK AVE, FORT WORTH, TX 76104(870) 270-7975 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakesha Stidum NPPES

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

LAKESHA STIDUM (NPI 1891107660) is an individual clinical provider in Fort Worth, Texas and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1891107660
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAKESHA STIDUM
Location Address101 NEW YORK AVEFort Worth, TX 76104-1558
Mailing Address3964 Watercourse Dr Apt 1458Fort Worth, TX 76109-2091 · (870) 270-7975
Phone(870) 270-7975
Sole ProprietorNo
Enumeration DateMay 28, 2014
Last NPPES UpdateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
✔ NPI 1891107660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
101 NEW YORK AVE, Fort Worth, TX 76104
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Secondary Practice Location 1

Location 14301 W Markham St # 783Little Rock, AR 72205-7101 · Phone (501) 686-8000 · Fax (501) 526-6562

Accepted Insurance

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

Lakesha Stidum 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 76104 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.

Other Providers at the Same Location NPPES 8

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

JAMES MICHAEL SANDERS LCSW
Social Worker (Clinical)
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (469) 924-4400
CHRISTIANA TABUGBO LMSW
Social Worker
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (682) 415-1548
DALLAS VAMC
Clinic/Center (VA)
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (615) 355-3451
ANNA MARTIN CTRS
Recreation Therapist
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (469) 316-0622
BRYANNA ELYCE GRAHAM LCSW
Social Worker
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (817) 313-4017
EUGENE ERNESTO ESTRADA LCSW
Social Worker (Clinical)
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (737) 298-2243
MS. SHAVON DONASINA CORMICK LMSW
Social Worker
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (817) 255-7153
MRS. ALEXUS BREANNA SEPULVEDA LCSW
Social Worker (Clinical)
101 NEW YORK AVE
FORT WORTH, TX 76104
Tarrant County (817) 821-6482

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 Lakesha Stidum's NPI number?

The NPI number for Lakesha Stidum is 1891107660. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Lakesha Stidum located?

Lakesha Stidum practices at 101 New York Ave, Fort Worth, TX 76104. The listed phone number is (870) 270-7975.

What is Lakesha Stidum's specialty?

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

Is Lakesha Stidum enrolled in Medicare?

Yes. Lakesha Stidum is registered in the Medicare PECOS enrollment system.

What insurance does Lakesha Stidum accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Lakesha Stidum 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 Lakesha Stidum was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.