Cheryl Dubbs Dielman, LCSW-S,LPC-S,CEDS-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

05505 Issued in TX

Practice address

3509 Hulen St
Fort Worth, TX 76107-6862

Phone

(817) 731-3700

Fax

(817) 731-9547

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1851953723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076862",
            "telephone_number": "817-731-3700",
            "fax_number": "817-731-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076862",
            "telephone_number": "817-731-3700",
            "fax_number": "817-731-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIELMAN",
        "first_name": "CHERYL",
        "middle_name": "DUBBS",
        "credential": "LCSW-S,LPC-S,CEDS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S02020",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "05505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Dickson, BS IONM
• Shirlecia J Dickson
• Sabrina Didarali
• Julie Dieck
• Sunday Dieke, LMFT
• Steven Diep
• Elizabeth Dierker
• Jacob S Dieseru
• Jennifer Jo Dietz, LMSW
• Quang Thieu Dieu

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.