Unknown Individual – Clinical Social Worker, NPI 1114070919
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
813, Woodridge Drive, DeSoto, Dallas County, Texas, 75115, United States
DESOTO, TX 751157519
Phone: (214) 929-4269
Fax: (972) 230-8490
Type: Mailing
1106, South Santa Fe Trail, Duncanville, Dallas County, Texas, 75137, United States
SUITE #4
DUNCANVILLE, TX 751373063
Phone: (214) 929-4269
Fax: (972) 230-8490
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 75115)
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