Active NPI
Marilyn Sturdivant, LCSW
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1851868319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60439
- Practice address
- 1201 N Watson Rd Ste 100-F
Arlington, TX 76006-6190 - Phone
- (817) 989-6332
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 60439 | TX | Primary |
Addresses
Primary practice location
1201 N Watson Rd Ste 100-F
Arlington, TX 76006-6190
Mailing address
PO Box 541314
Grand Prairie, TX 75054-1314
Phone (214) 240-8636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60439 | Other | TX | TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1851868319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541314",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750541314",
"telephone_number": "214-240-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 100-F",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760066190",
"telephone_number": "817-989-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDIVANT",
"first_name": "MARILYN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "60439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS",
"identifier": "60439",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.