Individual provider Active NPI

Ronald Schenk

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1134759574
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03013 Issued in TX
Practice address
8340 Meadow Rd Ste 253
Dallas, TX 75231-0332
Phone
(214) 360-0577
NPI assigned
Jan 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 03013 TX Primary

Addresses

Primary practice location

8340 Meadow Rd Ste 253
Dallas, TX 75231-0332

Mailing address

8340 Meadow Rd Ste 253
Dallas, TX 75231-0332

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL ronaldaschenk@outlook.com
CONNECT URL ronaldaschenk@outlook.com

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

LicenseStateTypeSpecialty
03013TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1134759574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD STE 253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD STE 253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310332",
            "telephone_number": "214-360-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "RONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "03013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ronaldaschenk@outlook.com",
            "affiliation": "N",
            "address_1": "8340 Meadow Rd Ste 253",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752310332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ronaldaschenk@outlook.com",
            "affiliation": "N",
            "address_1": "8340 Meadow Rd Ste 253",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752310332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 24, 2020; 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.