Dale Edmiaston, LMFT, LCSW, LCDC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10202 Issued in TX

Practice address

5606 Hondo Drive
Granbury, TX 76049

Phone

(817) 326-4081

Fax

(817) 326-3495

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780740480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760480711",
            "telephone_number": "817-326-4081",
            "fax_number": "817-326-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 HONDO DRIVE",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76049",
            "telephone_number": "817-326-4081",
            "fax_number": "817-326-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMIASTON",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "LMFT, LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3058",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "10202",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10202",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Duncan, RN IBCLC
• Brian Dunn, LCSW
• Marva Denise Durgin, NP
• Lisa Cavell Durham, BCHIS
• Stephanie Diane Durham, LPC
• Misty M Edwards, LCDC
• Eh of Fort Worth, LP
• Danielle E Ehrstein, PHARMD
• Empowerment Counseling, LLC
• Spencer Michael Ericksen

• Social Worker in Granbury, TX
• Providers in Granbury, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.