Active NPI
Lisa F Ciminelli, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1225248578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21818
- Practice address
- 7118 Fairdale Ave
Dallas, TX 75227-5754 - Phone
- (214) 207-1193
- NPI assigned
- May 23, 2007
- Last updated
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21818 | TX | Primary |
Addresses
Primary practice location
7118 Fairdale Ave
Dallas, TX 75227-5754
Mailing address
7118 Fairdale Ave
Dallas, TX 75227-5754
Phone (214) 207-1193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3427 E Hunter Bend CT
Mansfield, TX 76063-7510
Phone (817) 913-2669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21818 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihearu Mental Health LLC | Current | Accepting new patients | |
| Institute for Health Evaluation and Research Unlimited LLC | Current | Accepting new patients | |
| Hawkins Psychiatry PC | Past | Accepting new patients | |
| Mindful Behavioral LLC | Past | Accepting new patients | |
| Alliance Kids Care | Clinical | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Counseling Psychologist
- Mansfield, TX
- NPI 1134807100
-
dba Circulus Diagnostics
- Clinical Medical Laboratory
- Grand Prairie, TX
- NPI 1841936168
-
- Clinical Social Worker
- Fort Worth, TX
- NPI 1902471451
-
- Psychiatry Physician
- Arlington, TX
- NPI 1003056607
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Prairie, TX
- NPI 1811867872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1225248578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7118 FAIRDALE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752275754",
"telephone_number": "214-207-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7118 FAIRDALE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752275754",
"telephone_number": "214-207-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMINELLI",
"first_name": "LISA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "21818",
"primary": true
}
],
"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 Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.