NPIMap

Individual provider Active NPI

Shoshana Nikol Carr, LMSW-IPR

  • Point of Service
  • Forney, TX
National Provider Identifier
1821394784
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Practice address
1029 Johnson City Ave
Forney, TX 75126-5077
Phone
(214) 207-9117
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Social Worker 104100000X 38558 TX
Point of Service 305S00000X TX Primary

Addresses

Primary practice location

1029 Johnson City Ave
Forney, TX 75126-5077

Mailing address

1029 Johnson City Ave
Forney, TX 75126-5077
Phone (214) 207-9117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shoshana.carr@dallaselitetas.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
38558TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Transition Services LLC Point of Service CurrentSince Mar 22, 2020 Accepting new patients
Dallas Elite Tas Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821394784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 JOHNSON CITY AVE",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265077",
            "telephone_number": "214-207-9117",
            "fax_number": "972-552-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 JOHNSON CITY AVE",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265077",
            "telephone_number": "214-207-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SHOSHANA",
        "middle_name": "NIKOL",
        "name_prefix": "Ms.",
        "credential": "LMSW-IPR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "38558",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shoshana.carr@dallaselitetas.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Mail",
            "address_1": "1029 Johnson City Ave",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751265077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.