Self Care Club PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SELF CARE CLUB PLLC

Practice address

6500 Greenville Ave Ste 430
Dallas, TX 75206-1014

Phone

(214) 664-9042

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Shannon Carroll, LCSWNPI 1518440429

Title

Owner

Phone

(214) 664-9042

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Mikeal Carroll, LCSW

  • Social Worker
  • Dallas, TX
  • NPI 1518440429

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1629877667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 FORT WORTH AVE APT 11213",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111852",
            "telephone_number": "682-999-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE STE 430",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061014",
            "telephone_number": "214-664-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARE CLUB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-664-9042",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital Dallas Inc
• Fatma Nurefsan Selek, MD
• Selene Care LLC
• Self and Associates
• Self and Associates
• James Hershel Self, LMFT
• Lori Talley Self, CRNA
• Selfwell PLLC
• Amy Selimos, CNS
• Senahid Selimovic

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, 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 Mar 11, 2025; 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.