Individual provider Active NPI

Judy G Redington, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1043223407
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1468 Issued in TX
Practice address
6019 Steamboat Dr
Dallas, TX 75230-1851
Phone
(972) 233-5277
Fax
(972) 233-5277
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1468 TX Primary

Addresses

Primary practice location

6019 Steamboat Dr
Dallas, TX 75230-1851

Mailing address

6019 Steamboat Dr
Dallas, TX 75230-1851
Phone (972) 233-5277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000222 TX Practitioner - Clinical Social Worker 7315134350 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6019 Steamboat Dr
Dallas, TX 75230-1851
Phone (972) 233-5277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1468TXMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1043223407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 STEAMBOAT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301851",
            "telephone_number": "972-233-5277",
            "fax_number": "972-233-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 STEAMBOAT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301851",
            "telephone_number": "972-233-5277",
            "fax_number": "972-233-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGTON",
        "first_name": "JUDY",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.