Dallas VA Medical Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31123 Issued in TX

Legal business name

DALLAS VA MEDICAL CENTER

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 857-2371

NPI assigned

Aug 10, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vashawn Kianga Clemons, LMSWNPI 1609039429

Title

Social Worker II

Phone

(214) 857-2371

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vashawn Kianga Clemons, LMSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1609039429
  Authorized official Same address or phone

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1194736991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 JUDY LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591713",
            "telephone_number": "972-287-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "VASHAWN",
        "authorized_official_middle_name": "KIANGA",
        "authorized_official_title_or_position": "SOCIAL WORKER II",
        "authorized_official_telephone_number": "214-857-2371",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Therapy Center PLLC
• Dallas Therapy Collective, PLLC
• Dallas Therapy Group PLLC
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas Vamc

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.