Active NPI
Andrea Marie Bousquet, LBSW
- Social Worker
- Dallas, TX
National Provider Identifier
1760748685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 54975
- Practice address
- 8625 King George Dr
#111
Dallas, TX 75235-2215 - Phone
- (214) 631-7002
- NPI assigned
- Apr 4, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 54975 | TX | Primary |
Addresses
Primary practice location
8625 King George Dr
#111
Dallas, TX 75235-2215
Mailing address
250 E Hwy 67
#5101
Duncanville, TX 75137
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 |
|---|---|---|---|
| 54975 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Support of Texas, 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Austin, TX
- NPI 1982773396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1760748685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E HWY 67",
"address_2": "#5101",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "75137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8625 KING GEORGE DR",
"address_2": "#111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752352215",
"telephone_number": "214-631-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUSQUET",
"first_name": "ANDREA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "54975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.