Individual provider Active NPI

Vanessa Weilage, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1508300815
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55420 Issued in TX
Practice address
4305 Macarthur Ave
Dallas, TX 75209-6511
Phone
(214) 526-4525
Fax
(214) 520-6468
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 55420 TX Primary

Addresses

Primary practice location

4305 Macarthur Ave
Dallas, TX 75209-6511

Mailing address

4305 Macarthur Ave
Dallas, TX 75209-6511
Phone (214) 526-4525

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
I20170214001061 TX Practitioner - Clinical Social Worker 1850674045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center for Integrative Counseling and PsychologyGroup PAC ID 8527111731, 33 clinicians

Practice addresses (Care Compare)

503 N Central Expy
Richardson, TX 75080-5315
Phone (214) 526-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55420TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 18, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 18, 2016 Accepting new patients
The Center for Integrative Counseling and Psychology CurrentSince Jun 1, 2019 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4305 MacArthur Ave
Dallas, TX 75209

4525 Lemmon Ave
Ste 200
Dallas, TX 75219

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

6400 Stonebrook Pkwy
Frisco, TX 75034

2520 Oates Dr
Mesquite, TX 75150

503 N Central Expy
Richardson, TX 75080

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1508300815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 MACARTHUR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096511",
            "telephone_number": "214-526-4525",
            "fax_number": "214-520-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 MACARTHUR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096511",
            "telephone_number": "214-526-4525",
            "fax_number": "214-520-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAGE",
        "first_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.