Individual provider Active NPI

David Sterling Hogan, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1447465919
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13126 Issued in TX
Practice address
8330 Meadow Rd
Ste. 114
Dallas, TX 75231-3767
Phone
(214) 957-6902
Fax
(214) 750-1971
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13126 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13126 TX Primary

Addresses

Primary practice location

8330 Meadow Rd
Ste. 114
Dallas, TX 75231-3767

Mailing address

8330 Meadow Rd
Ste. 114
Dallas, TX 75231-3767
Phone (214) 957-6902

Other practice location 1

5300 University Hills Blvd
Dallas, TX 75241-1219
Phone (214) 941-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118000821 TX Practitioner - Clinical Social Worker 3072965755 Reassigns benefits to 1 organization
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13126TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Behavioral Health Authority Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Center for Family Care LLC Clinical Past Accepting new patients
North Texas Behavioral Health Authority Mental Health PastSince Apr 24, 2022 Accepting new patients

Locations

5300 University Hills Blvd
Dallas, TX 75241
Phone (214) 941-3500

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1447465919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 MEADOW RD",
            "address_2": "STE. 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313767",
            "telephone_number": "214-957-6902",
            "fax_number": "214-750-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 MEADOW RD",
            "address_2": "STE. 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313767",
            "telephone_number": "214-957-6902",
            "fax_number": "214-750-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 University Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752411219",
            "country_code": "US",
            "telephone_number": "214-941-3500",
            "fax_number": "214-389-1084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "DAVID",
        "middle_name": "STERLING",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13126",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "13126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.