Dorothy G St John, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 1766 Issued in TX

Practice address

4200 S Hulen St Ste 682
Fort Worth, TX 76109-7905

Phone

(817) 569-9514

Fax

(817) 926-2656

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558574665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 WEYBURN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095218",
            "telephone_number": "817-926-7942",
            "fax_number": "817-926-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 682",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761097905",
            "telephone_number": "817-569-9514",
            "fax_number": "817-926-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "DOROTHY",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "LCSW 1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC Fort Worth Nursing & Rehabilitation Center Operating Company LLC (Arlington Heights Health and Rehabilitation Center)
• Marygorreth Samanya Ssentamu
• SSQ Home Health Care,Inc
• St Dymphna Global Psychotherapy (Brannon LaForce LPC-S & Associates)
• Carlene Areta St John, FNP-BC
• Diane St Pierre, ACNP
• Sierra St Valentine, MS, CCC-SLP
• St. Giles Living Centers, Inc.
• Nicole Elizabeth St. John, LMSW
• Paula St. John, LCSW

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• 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.

Verify at the official NPI Registry.