MR. ALAN J. KATZEN (LCSW, MSSW, BCD) – Clinical Social Worker, NPI 1356492102
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,555 CLINICAL SOCIAL WORKER in TX
Provider Addresses for MR. ALAN J. KATZEN (LCSW, MSSW, BCD)
Senior Mental Health Solutions
109 Manor Court North
Willow Park, TX 760873002
Phone: (817) 522-8263
Fax: (817) 441-1916
Type: Location
SENIOR MENTAL HEALTH SOLUTIONS
109 MANOR COURT NORTH
WILLOW PARK, TX 760873002
Phone: (817) 522-8263
Fax: (817) 441-1916
Type: Location
118250 Destination Drive
Broomfield, CO 800212518
Phone: (303) 460-6068
Fax: (720) 718-0925
Type: Location
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 809095533
Phone: (719) 365-5221
Fax: (719) 365-8980
Type: Location
4516, Boat Club Road, Lake Worth, Tarrant County, Texas, 76135, United States
SUITE 139
FORT WORTH, TX 761357021
Phone: (682) 554-5104
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211119001134 | I | Clinical Social Worker | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76087)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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