Active NPI
Angela Cristi Martin, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1124715743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 67794
- Practice address
- 3201 W Saner Ave
Dallas, TX 75233-1430 - Phone
- (214) 331-0567
- NPI assigned
- Apr 24, 2023
- 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 | 67794 | TX | Primary |
Addresses
Primary practice location
3201 W Saner Ave
Dallas, TX 75233-1430
Mailing address
12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (972) 957-3000
Other names 1
- Angela Cristi Ray
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1124715743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12377 MERIT DR STE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513126",
"telephone_number": "972-957-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W SANER AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752331430",
"telephone_number": "214-331-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANGELA",
"middle_name": "CRISTI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "67794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "RAY",
"middle_name": "CRISTI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.