Individual provider Active NPI

Joyce Wulbert, LMSW ACP

  • Clinical Social Worker
  • Richardson, TX
National Provider Identifier
1427165133
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S03592 Issued in TX
Practice address
1755 N Collins Blvd
Suite 525
Richardson, TX 75080-3613
Phone
(214) 369-5522
Fax
(214) 369-5327
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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 S03592 TX Primary

Addresses

Primary practice location

1755 N Collins Blvd
Suite 525
Richardson, TX 75080-3613

Mailing address

1755 N Collins Blvd
Suite 525
Richardson, TX 75080-3613
Phone (214) 369-5522

Other identifiers 1

IdentifierTypeStateIssuer
100585202MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3592TXMDBehavioral Analyst
S03592TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1427165133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N COLLINS BLVD",
            "address_2": "SUITE 525",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803613",
            "telephone_number": "214-369-5522",
            "fax_number": "214-369-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N COLLINS BLVD",
            "address_2": "SUITE 525",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803613",
            "telephone_number": "214-369-5522",
            "fax_number": "214-369-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULBERT",
        "first_name": "JOYCE",
        "credential": "LMSW  ACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S03592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100585202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.