P Praxis·MD
● Active Type 2 · Organization

Faithfully Restored

Social Worker·Longview, TX· NPI 1003323726 · Enumerated 2018 · 8 years on NPI
Faithfully Restored is 1 of 12911 social worker organizations in Texas.
NPI age
8 years
Enumerated 2018-01-03
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clough
Ceo
Last NPPES update
2018-01-03
Source: monthly bulk 2026-05

How this organization compares

Across 12911 active social worker providers in Texas.

NPI age
8 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-01Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1010 Tristan Ln
Longview, TX 756041862
📞 9039186574fax 9037040980
Mailing address
1010 Tristan Ln
Longview, TX 756041862
📞 9039186574fax 9037040980

Authorized official

Kimberly Clough, LCSW
Ceo
📞 9039186574

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Social Worker Primary
    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...
    TX license #59013 taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (TX) 373636801

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Kimberly Clough
    Type code 3 recorded 2018-01-03

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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