Active NPI
Calvin Ray Roper, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1174767016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 32614
- Practice address
- 5705 Hillcroft St
Dallas, TX 75227-1538 - Phone
- (214) 381-6150
- NPI assigned
- Apr 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | TX | ||
| Clinical Social Worker | 1041C0700X | 32614 | TX | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22314 | TX |
Addresses
Primary practice location
5705 Hillcroft St
Dallas, TX 75227-1538
Mailing address
PO Box 270022
Dallas, TX 75227-0022
Phone (214) 381-6150
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22314 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 32614 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1174767016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270022",
"city": "DALLAS",
"state": "TX",
"postal_code": "752270022",
"telephone_number": "214-381-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 HILLCROFT ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752271538",
"telephone_number": "214-381-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROPER",
"first_name": "CALVIN",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-22",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "32614",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "22314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 15, 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.