Individual provider Active NPI

James Dinh, LCSW

  • Clinical Social Worker
  • Crowley, TX
National Provider Identifier
1184904385
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61941 Issued in TX
Practice address
10850 Texan Rider Dr
Crowley, TX 76036-9414
Phone
(682) 703-7048
NPI assigned
Aug 19, 2011
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
61941TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.