David Woody III, PH. D, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11128 Issued in TX

Practice address

1818 Corsicana St
Dallas, TX 75201-6102

Phone

(214) 670-1150

NPI assigned

Sep 26, 2018

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bridge Steps

  • Case Management Agency
  • Dallas, TX
  • NPI 1215434964
  Medicare reassignment
• Catholic Charities of Fort Worth, Inc

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1962445791

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1780169748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 CORSICANA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016102",
            "telephone_number": "214-670-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 CORSICANA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016102",
            "telephone_number": "214-670-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "DAVID",
        "name_suffix": "III",
        "credential": "PH. D, LCSW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky L Woodson
• Jeffrey S. Woodson, D.D.S.,M.S.D.
• Carol Woodward, APRN
• Jonathan E Woodward, D.C.
• Robert Daniel Woodward Jr., D.D.S.
• Lisa Woody, LMT
• Julia Higgins Wool
• Ashley Woolbert
• Colleen Elizabeth Wooldridge, CRNA
• Ginette M. Wooldridge, WHCNP

• 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 Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.