Individual provider Active NPI

Julieth Alejandra Arellano Gaona, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1356911853
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64323 Issued in TX
Practice address
2815 Bickers St
Dallas, TX 75212-2460
Phone
(972) 502-4040
Fax
(214) 932-7586
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64323 TX Primary

Addresses

Primary practice location

2815 Bickers St
Dallas, TX 75212-2460

Mailing address

2815 Bickers St
Dallas, TX 75212-2460
Phone (972) 502-4049

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64323TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Therapy Current Accepting new patients
Dallas Independent School District Clinical PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1356911853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 BICKERS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752122460",
            "telephone_number": "972-502-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 BICKERS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752122460",
            "telephone_number": "972-502-4040",
            "fax_number": "214-932-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO GAONA",
        "first_name": "JULIETH",
        "middle_name": "ALEJANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64323",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 28, 2023; 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.