NPIMap

Organization Active NPI

Jessica Derx LLC

  • Clinical Social Worker
  • Garland, TX
National Provider Identifier
1144638867
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52081 Issued in TX
Legal business name
JESSICA DERX LLC
Practice address
746 Colonel Dr
Suite II B
Garland, TX 75043-2369
Phone
(214) 901-7709
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Jessica Derx, LCSWNPI 1770991408
Title
Therapist
Phone
(214) 901-7709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 52081 TX Primary

Addresses

Primary practice location

746 Colonel Dr
Suite II B
Garland, TX 75043-2369

Mailing address

PO Box 830354
Richardson, TX 75083-0354

National Provider Directory

National Provider Directory

Locations

746 Colonel Dr
Ste Ii
Garland, TX 75043
Phone (214) 901-7709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1144638867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830354",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750830354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 COLONEL DR",
            "address_2": "SUITE II B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432369",
            "telephone_number": "214-901-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA DERX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "DERX",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "214-901-7709",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.