Active NPI
Pressley Ridge
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1417080805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PRESSLEY RIDGE
- Practice address
- 2017 E Lamar Blvd
Suite 200
Arlington, TX 76006-7345 - Phone
- (817) 275-5405
- Fax
- (412) 321-7008
- NPI assigned
- Mar 14, 2007
- Organization subpart
- Yes
- Parent organization
- PRESSLEY RIDGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Blair
- Title
- Sr Accounting Director
- Phone
- (412) 321-6995
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2017 E Lamar Blvd
Suite 200
Arlington, TX 76006-7345
Mailing address
530 Marshall Ave
Pittsburgh, PA 15214-3016
Phone (412) 321-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188444701 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Pressley Ridge
- Part of
- Pressley Ridge
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Arlington, TX
- NPI 1669694527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1417080805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 MARSHALL AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152143016",
"telephone_number": "412-321-6995",
"fax_number": "412-321-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 E LAMAR BLVD",
"address_2": "SUITE 200",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760067345",
"telephone_number": "817-275-5405",
"fax_number": "412-321-7008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESSLEY RIDGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRESSLEY RIDGE",
"enumeration_date": "2007-03-14",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "BLAIR",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "SR ACCOUNTING DIRECTOR",
"authorized_official_telephone_number": "412-321-6995"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188444701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.