Active NPI
Rosanna Ximenes Wehrman, LCSW
- Clinical Social Worker
- Paris, TX
National Provider Identifier
1326002015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108123402 | Medicaid | TX |
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 |
|---|---|---|---|
| 154 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| 4515 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 2427 | OK | MD | Clinical Social Worker |
| 9555 | TX | MD | Chiropractor |
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.