Active NPI
Nona Lynn Pankonien, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1437197951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26270
- Practice address
- 12700 Hillcrest Rd
Suite 176
Dallas, TX 75230-2033 - Phone
- (972) 233-1010
- Fax
- (214) 623-6692
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26270 | TX | Primary |
Addresses
Primary practice location
12700 Hillcrest Rd
Suite 176
Dallas, TX 75230-2033
Mailing address
6510 Glenmoor Dr
Garland, TX 75043-5931
Phone (214) 770-9394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26305012 | Other | KS | BCBS OF KC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26270 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401062400000",
"number": "1437197951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 GLENMOOR DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435931",
"telephone_number": "214-770-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 HILLCREST RD",
"address_2": "SUITE 176",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302033",
"telephone_number": "972-233-1010",
"fax_number": "214-623-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKONIEN",
"first_name": "NONA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2014-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "26270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC",
"identifier": "26305012",
"state": "KS"
}
],
"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 May 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.