Individual provider Active NPI

Adrienne Garcia-O'Malley, LCSW

  • Clinical Social Worker
  • Irving, TX
National Provider Identifier
1043219504
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S37842 Issued in TX
Practice address
2912 N Macarthur Blvd
Ste. 107
Irving, TX 75062-4447
Phone
(214) 260-2888
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7561629699 OK
Clinical Social Worker 1041C0700X S37842 TX Primary
Clinical Social Worker 1041C0700X 2454 OK

Addresses

Primary practice location

2912 N Macarthur Blvd
Ste. 107
Irving, TX 75062-4447

Mailing address

PO Box 165941
Irving, TX 75016-5941
Phone (214) 260-2888

Other names 1

  • Adrienne Garcia-O'Malley, LCSW Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7561629699OKMDAddiction (Substance Use Disorder) Counselor
2454OKMDProfessional Counselor
S37842TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Counseling Center Inc Clinical PastSince Nov 14, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1043219504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165941",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750165941",
            "telephone_number": "214-260-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 N MACARTHUR BLVD",
            "address_2": "STE. 107",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624447",
            "telephone_number": "214-260-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-O'MALLEY",
        "first_name": "ADRIENNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "7561629699",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S37842",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "GARCIA-O'MALLEY, LCSW",
            "credential": "MSW, MHR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.