Bob Venceil, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25493 Issued in TX

Practice address

9927 Burnham Dr
Dallas, TX 75243-2411

Phone

(817) 905-3640

NPI assigned

Dec 7, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1114255932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 BURNHAM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432411",
            "telephone_number": "817-905-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 BURNHAM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432411",
            "telephone_number": "817-905-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENCEIL",
        "first_name": "BOB",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gail Veltkamp, MD
• Latha Velusamy, M.D.
• Vamsidhara Vemireddy, MD
• Suresh Vemula, MD
• Roopa Vemulapalli, MD
• Venegas Medical Foundation (Angeles Clinic)
• Allison Venegas, LCSW
• Carlos L. Venegas, M.D.
• Cristal Venegas
• Gonzalo Venegas, MD

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.