Active NPI
Martha Ellen Metarelis, LCSW
- Clinical Social Worker
- Irving, TX
National Provider Identifier
1558379719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05139
- Practice address
- 1333 Corporate Dr Ste 200
Irving, TX 75038-2545 - Phone
- (972) 753-7811
- Fax
- (972) 756-9269
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- 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 | 05139 | TX | Primary |
Addresses
Primary practice location
1333 Corporate Dr Ste 200
Irving, TX 75038-2545
Mailing address
901 N Garden Ridge Blvd Apt 1304
Lewisville, TX 75077-2970
Phone (972) 219-2375
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05139 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Timberlawn Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Garland Behavioral Hospital
- Psychiatric Hospital
- Garland, TX
- NPI 1316455090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558379719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N GARDEN RIDGE BLVD APT 1304",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772970",
"telephone_number": "972-219-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 CORPORATE DR STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382545",
"telephone_number": "972-753-7811",
"fax_number": "972-756-9269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METARELIS",
"first_name": "MARTHA",
"middle_name": "ELLEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "05139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.