MRS. MERRILL L LITTLEBERRY (LCSW, LCDC, CCM) – Addiction (Substance Use Disorder) Counselor, NPI 1649235060
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,405 CLINICAL SOCIAL WORKER in OR
Provider Addresses for MRS. MERRILL L LITTLEBERRY (LCSW, LCDC, CCM)
4200 SOUTH FWY STE 424
FORT WORTH, TX 761151405
Phone: (817) 920-9321
Fax: (817) 920-9336
Type: Mailing
51 SW Lee St
Newport, OR 973653823
Phone: (541) 574-5960
Type: Location
Fiesta Mart, 4200, South Freeway, Fort Worth, Tarrant County, Texas, 76115, United States
SUITE 424
FORT WORTH, TX 761151400
Phone: (817) 920-9321
Fax: (817) 920-9336
Type: Location
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: 2023-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060104001010 | I | Clinical Social Worker | TX | TBD |
| I20230828002697 | I | Clinical Social Worker | OR | 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 76115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| P S Y C H I A T R Y | OR | |
| - | OR | |
| Osteopathic Manipulative Medicine | CA | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | OR | |
| P S Y C H I A T R Y | OR | |
| Nurse Practitioner | CA | |
| - | OR |
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