Active NPI
Tzivia E Stein, LCSW
- Clinical Social Worker
- Garland, TX
National Provider Identifier
1255356929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18932
- Practice address
- 629 W Centerville Rd
Suite 212
Garland, TX 75041-5460 - Phone
- (214) 232-5159
- Fax
- (972) 276-2592
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 18932 | TX | Primary |
Addresses
Primary practice location
629 W Centerville Rd
Suite 212
Garland, TX 75041-5460
Mailing address
4013 Hillsdale Lane
Garland, TX 75042
Phone (214) 232-5159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1273609 | Medicaid | TX | |
| 11553615 | Other | TX | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18932 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1255356929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 HILLSDALE LANE",
"city": "GARLAND",
"state": "TX",
"postal_code": "75042",
"telephone_number": "214-232-5159",
"fax_number": "972-276-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 W CENTERVILLE RD",
"address_2": "SUITE 212",
"city": "GARLAND",
"state": "TX",
"postal_code": "750415460",
"telephone_number": "214-232-5159",
"fax_number": "972-276-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "TZIVIA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "18932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1273609",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11553615",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.