Individual provider Active NPI

Carmela Georgina Rupe, MSW, LCSW

  • Clinical Social Worker
  • Rockwall, TX
National Provider Identifier
1376876409
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112111 Issued in TX
Practice address
930 W Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6664
Phone
(214) 646-3789
Fax
(214) 261-2270
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-08968 NM
Clinical Social Worker 1041C0700X 112111 TX Primary

Addresses

Primary practice location

930 W Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6664

Mailing address

930 W Ralph Hall Pkwy Ste 114
Rockwall, TX 75032-6664
Phone (214) 646-3789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-08968NMMDClinical Social Worker
112111TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1376876409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W RALPH HALL PKWY STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326664",
            "telephone_number": "214-646-3789",
            "fax_number": "214-261-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W RALPH HALL PKWY STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326664",
            "telephone_number": "214-646-3789",
            "fax_number": "214-261-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPE",
        "first_name": "CARMELA",
        "middle_name": "GEORGINA",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.