Individual provider Active NPI

Dianne M. Pipkin, MSSW, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1396803383
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09498 Issued in TX
Practice address
2222 W Spring Creek Pkwy #105
Plano, TX 75023-4507
Phone
(214) 538-9057
Fax
(972) 867-9057
NPI assigned
Dec 4, 2006
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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 09498 TX Primary

Addresses

Primary practice location

2222 W Spring Creek Pkwy #105
Plano, TX 75023-4507

Mailing address

2222 W Spring Creek Pkwy #105
Plano, TX 75023-4507
Phone (214) 538-9057

Other identifiers 2

IdentifierTypeStateIssuer
09498OtherTXLICENCED CLINICAL SOCIAL WORKER
11706050OtherTXCAQH PROVIDER ID

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
09498TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1396803383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W SPRING CREEK PKWY #105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234507",
            "telephone_number": "214-538-9057",
            "fax_number": "972-867-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W SPRING CREEK PKWY #105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234507",
            "telephone_number": "214-538-9057",
            "fax_number": "972-867-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPKIN",
        "first_name": "DIANNE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "09498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED CLINICAL SOCIAL WORKER",
            "identifier": "09498",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11706050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.