Individual provider Active NPI

Julie Dimock, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1225427974
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60066 Issued in TX
Practice address
11700 Preston Rd Ste 660-333
Dallas, TX 75230-6112
Phone
(214) 675-9461
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60066 TX Primary

Addresses

Primary practice location

11700 Preston Rd Ste 660-333
Dallas, TX 75230-6112

Mailing address

3709 Rodale Way
Dallas, TX 75287-4817
Phone (214) 675-9461

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205000465 TX Practitioner - Clinical Social Worker 6305161878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Mind Body Wellness PCGroup PAC ID 6800879438, 4 clinicians

Practice addresses (Care Compare)

3208 Thunderbird LN
Plano, TX 75075-2321
Phone (972) 422-2214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60066TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Assurasource LTD Clinical CurrentSince Dec 27, 2014 Accepting new patients
Mind Body Wellness PC CurrentSince Jul 24, 2017 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

17304 Preston Rd
Ste 800
Dallas, TX 75252
Phone (214) 763-1985

3208 Thunderbird Ln
Plano, TX 75075
Phone (972) 422-2214

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1225427974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 RODALE WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874817",
            "telephone_number": "214-675-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 PRESTON RD STE 660-333",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306112",
            "telephone_number": "214-675-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOCK",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.