Active NPI
Jalayna Dickerson Gaines, LCSW
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1053072264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 57912
- Practice address
- 2000 E. Lamar Blvd.
Ste. 600 PMB #129
Arlington, TX 76006 - Phone
- (817) 286-5951
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57912 | TX | Primary |
Addresses
Primary practice location
2000 E. Lamar Blvd.
Ste. 600 PMB #129
Arlington, TX 76006
Mailing address
2000 E. Lamar Blvd.
Ste. 600 PMB #129
Arlington, TX 76006
Phone (817) 286-5951
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57912 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Gaines Counseling, PLLC | Clinical | Current | Accepting new patients |
| Studio 4-1-1 Counseling & Consulting, PLLC | Clinical | Past | Accepting new patients |
Locations
2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Arlington, TX
- NPI 1609596022
-
- Clinical Social Worker
- Arlington, TX
- NPI 1639709892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1053072264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E. LAMAR BLVD.",
"address_2": "STE. 600 PMB #129",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76006",
"telephone_number": "817-286-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E. LAMAR BLVD.",
"address_2": "STE. 600 PMB #129",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76006",
"telephone_number": "817-286-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "JALAYNA",
"middle_name": "DICKERSON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.