Individual provider Active NPI

Rosanna Ximenes Wehrman, LCSW

  • Clinical Social Worker
  • Paris, TX
National Provider Identifier
1326002015
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09555 Issued in TX
Practice address
2850 Lewis LN
Pavilion 1 Suite 109
Paris, TX 75462-2019
Phone
(903) 782-9500
Fax
(903) 782-9550
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 154 OK
Clinical Social Worker 1041C0700X 09555 TX Primary
Clinical Social Worker 1041C0700X 2427 OK
Addiction (Substance Use Disorder) Counselor 101YA0400X 4515 TX

Addresses

Primary practice location

2850 Lewis LN
Pavilion 1 Suite 109
Paris, TX 75462-2019

Mailing address

2850 Lewis LN
Pavilion 1 Suite 109
Paris, TX 75460-9378
Phone (903) 782-9500

Other identifiers 1

IdentifierTypeStateIssuer
108123402MedicaidTX

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

LicenseStateTypeSpecialty
154OKMDAddiction (Substance Use Disorder) Counselor
4515TXMDAddiction (Substance Use Disorder) Counselor
2427OKMDClinical Social Worker
9555TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1326002015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "PAVILION 1 SUITE 109",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609378",
            "telephone_number": "903-782-9500",
            "fax_number": "903-782-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "PAVILION 1 SUITE 109",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622019",
            "telephone_number": "903-782-9500",
            "fax_number": "903-782-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRMAN",
        "first_name": "ROSANNA",
        "middle_name": "XIMENES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "154",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "09555",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2427",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "4515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108123402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.