Active NPI
Jazzmyne Aaron, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1326550997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62001
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235-7709 - Phone
- (214) 773-7516
- NPI assigned
- Nov 3, 2017
- Last updated
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 62001 | TX | Primary |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Mailing address
PO Box 353
Red Oak, TX 75154-0353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62001 | Other | TX | TX BOARD OF SOCIAL WORKERS LICENSE NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62001 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1326550997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 353",
"city": "RED OAK",
"state": "TX",
"postal_code": "751540353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "214-773-7516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AARON",
"first_name": "JAZZMYNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX BOARD OF SOCIAL WORKERS LICENSE NUMBER",
"identifier": "62001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.