Individual provider Active NPI

Elizabeth Winifred Reep, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1104836949
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36113 Issued in TX
Practice address
760 N Fielder Rd
Arlington, TX 76012-4635
Phone
(817) 715-2785
NPI assigned
Aug 8, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 36113 TX Primary

Addresses

Primary practice location

760 N Fielder Rd
Arlington, TX 76012-4635

Mailing address

1796 Hidden Brook Dr
Grand Prairie, TX 75050-8334
Phone (817) 715-2785

Other names 1

  • Elizabeth Winifred Curl Former 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
36113TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1104836949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 HIDDEN BROOK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750508334",
            "telephone_number": "817-715-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124635",
            "telephone_number": "817-715-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEP",
        "first_name": "ELIZABETH",
        "middle_name": "WINIFRED",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CURL",
            "middle_name": "WINIFRED",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 13, 2008; 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.