Active NPI
Julie Marie Ennis, LCSW
- Clinical Social Worker
- Richardson, TX
National Provider Identifier
1073047106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 57518
- Practice address
- 1350 N Greenville Ave
Apt 3316
Richardson, TX 75081-2740 - Phone
- (412) 656-7776
- NPI assigned
- Apr 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 57518 | TX | Primary |
Addresses
Primary practice location
1350 N Greenville Ave
Apt 3316
Richardson, TX 75081-2740
Mailing address
1350 N Greenville Ave
Apt 3316
Richardson, TX 75081-2740
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 |
|---|---|---|---|
| 57518 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492214400000",
"number": "1073047106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 N GREENVILLE AVE",
"address_2": "APT 3316",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 N GREENVILLE AVE",
"address_2": "APT 3316",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812740",
"telephone_number": "412-656-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-15",
"last_updated": "2017-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.