Active NPI
Corinne Jessee Carpenter, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1790086734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54121
- Practice address
- 5220 McKinney Ave
Suite 202
Dallas, TX 75205-3364 - Phone
- (214) 780-0330
- NPI assigned
- Nov 8, 2010
- Last updated
- Jan 9, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 54121 | TX | Primary |
Addresses
Primary practice location
5220 McKinney Ave
Suite 202
Dallas, TX 75205-3364
Mailing address
5220 McKinney Ave
Suite 202
Dallas, TX 75205-3364
Phone (214) 780-0330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54121 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1790086734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 MCKINNEY AVE",
"address_2": "SUITE 202",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053364",
"telephone_number": "214-780-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 MCKINNEY AVE",
"address_2": "SUITE 202",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053364",
"telephone_number": "214-780-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "CORINNE",
"middle_name": "JESSEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54121",
"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 Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.