Individual provider Active NPI

Paula Kay Rietz, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1235374653
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33235 Issued in TX
Practice address
12700 Hillcrest Rd
Dallas, TX 75230-2033
Phone
(972) 573-1010
Fax
(972) 233-1099
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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 33235 TX Primary

Addresses

Primary practice location

12700 Hillcrest Rd
Dallas, TX 75230-2033

Mailing address

3700 Bur Oak Dr
Colleyville, TX 76034-5986
Phone (816) 680-8399

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
I20090224000466 TX Practitioner - Clinical Social Worker 0749345882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assurasource LTDGroup PAC ID 8123125580, 61 clinicians

Practice addresses (Care Compare)

400 N Allen Dr
Allen, TX 75013-2568
Phone (972) 233-1010

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
80
Improvement activities
40
Cost
66.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33235TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Assurasource LTD Clinical CurrentSince Dec 15, 2008 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 7, 2023 Accepting new patients
Assura Source Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

400 N Allen Dr
Ste 204
Allen, TX 75013

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

12700 Hillcrest Rd
Ste 274
Dallas, TX 75230
Phone 97223310104

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

200 SW 25th Ave
Mineral Wells, TX 76067
Phone (888) 518-7868

Organizations & group practices 4

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1235374653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BUR OAK DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345986",
            "telephone_number": "816-680-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302033",
            "telephone_number": "972-573-1010",
            "fax_number": "972-233-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETZ",
        "first_name": "PAULA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.