IndividualActive
Ann Revard, LCSW
NPI 1194996900 · Clinical Social Worker · Fort Worth, TX
Provider details
- NPI number
- 1194996900
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23021 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1314 Lake St Ste 102
Fort Worth, TX 76102-4582
Phone: (817) 810-0030
Fax: (817) 367-9615
Street-level locationGet directions
Mailing address
1314 Lake St Ste 102
Fort Worth, TX 76102-4582
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.