Individual provider Active NPI

Celia Rosen Sugg, LCSW

  • Clinical Social Worker
  • Grapevine, TX
National Provider Identifier
1235337718
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36484 Issued in TX
Practice address
315 W Wall St
Ste. 200
Grapevine, TX 76051-5284
Phone
(817) 251-3507
Fax
(214) 292-9966
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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 36484 TX Primary

Addresses

Primary practice location

315 W Wall St
Ste. 200
Grapevine, TX 76051-5284

Mailing address

315 W Wall St
Ste. 200
Grapevine, TX 76051-5284
Phone (817) 251-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 20, 2025 through Oct 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36484TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carla B. Pulliam, PH.D., P.C. PastSince Jun 1, 2003 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1235337718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W WALL ST",
            "address_2": "STE. 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515284",
            "telephone_number": "817-251-3507",
            "fax_number": "214-292-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WALL ST",
            "address_2": "STE. 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515284",
            "telephone_number": "817-251-3507",
            "fax_number": "214-292-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGG",
        "first_name": "CELIA",
        "middle_name": "ROSEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.