Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Magellan Provider Services, PA

Organization Clinical Social Worker · NPI 1255099545

Magellan Provider Services, PA is a Clinical Social Worker in Frisco, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6303 Cowboys Way Ste 350
Frisco, TX 75034-0335
Phone: (866) 605-0634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1255099545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rao Naseem — President · (940) 565-0800
NPI enumeratedDecember 3, 2021
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address8621 Robert Fulton Dr, Columbia, MD 21046-2620

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