Active NPI
Tove Kristine Fjordholm, LBSW
- Social Worker
- Dallas, TX
National Provider Identifier
1407185085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 53650
- Practice address
- 214 W Colorado Blvd
Dallas, TX 75208-2326 - Phone
- (214) 943-9431
- Fax
- (214) 941-4562
- NPI assigned
- Dec 10, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 53650 | TX | Primary |
Addresses
Primary practice location
214 W Colorado Blvd
Dallas, TX 75208-2326
Mailing address
214 W Colorado Blvd
Dallas, TX 75208-2326
Phone (214) 943-9431
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53650 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1407185085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082326",
"telephone_number": "214-943-9431",
"fax_number": "214-941-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W COLORADO BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082326",
"telephone_number": "214-943-9431",
"fax_number": "214-941-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FJORDHOLM",
"first_name": "TOVE",
"middle_name": "KRISTINE",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "53650",
"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 Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.