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

Nathaniel James Wofford

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568220895

Nathaniel James Wofford is a Clinical Psychologist in Waco, Texas. Qualified in 2024, 2 years ago. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4800 Memorial Dr
Waco, TX 76711-1329
Phone: (512) 983-5983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5341-57 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568220895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESApril 6, 2025
Certification dateApril 6, 2025
Mailing address136 Swan Lk, Waco, TX 76708-7202

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Waco