Active NPI
Caroline Monica Roberts-Daley
- Clinical Social Worker
- Mesquite, TX
National Provider Identifier
1306234422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17275
- Practice address
- 1304 Quapaw TRL
Mesquite, TX 75149-6691 - Phone
- (972) 768-6747
- Fax
- (214) 653-6379
- NPI assigned
- Dec 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3552 | TX | |
| Clinical Social Worker | 1041C0700X | 17275 | TX | Primary |
Addresses
Primary practice location
1304 Quapaw TRL
Mesquite, TX 75149-6691
Mailing address
1304 Quapaw TRL
Mesquite, TX 75149-6691
Phone (972) 768-6747
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 |
|---|---|---|---|
| 3552 | TX | MD | Marriage & Family Therapist |
| 17275 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1306234422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 QUAPAW TRL",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751496691",
"telephone_number": "972-768-6747",
"fax_number": "214-653-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 QUAPAW TRL",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751496691",
"telephone_number": "972-768-6747",
"fax_number": "214-653-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-DALEY",
"first_name": "CAROLINE",
"middle_name": "MONICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-23",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "3552",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "17275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.