Active NPI
James Dinh, LCSW
- Clinical Social Worker
- Crowley, TX
National Provider Identifier
1184904385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61941
- Practice address
- 10850 Texan Rider Dr
Crowley, TX 76036-9414 - Phone
- (682) 703-7048
- NPI assigned
- Aug 19, 2011
- Last updated
- Feb 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61941 | TX | Primary |
| Community Health Worker | 172V00000X | NU |
Addresses
Primary practice location
10850 Texan Rider Dr
Crowley, TX 76036-9414
Mailing address
1200 Chaparral LN
Granbury, TX 76048-2509
Phone (801) 638-2010
Other practice location 1
1200 Chaparral Ln
Granbury, TX 76048-2509
Phone (801) 638-2010
Other practice location 2
344 E 100 S
Suite 301
Salt Lake City, UT 84111-1700
Phone (801) 322-4257
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61941 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1184904385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CHAPARRAL LN",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482509",
"telephone_number": "801-638-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10850 TEXAN RIDER DR",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760369414",
"telephone_number": "682-703-7048"
}
],
"practiceLocations": [
{
"address_1": "1200 Chaparral Ln",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760482509",
"country_code": "US",
"telephone_number": "801-638-2010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "344 E 100 S",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841111700",
"country_code": "US",
"telephone_number": "801-322-4257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DINH",
"first_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61941",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.