Individual provider Active NPI

Ronald Nevelow, L.C.S.W.

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1881039832
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24053 Issued in TX
Practice address
12880 Hillcrest Rd
Ste. J104
Dallas, TX 75230-1532
Phone
(214) 563-2126
NPI assigned
May 3, 2013
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24053 TX Primary

Addresses

Primary practice location

12880 Hillcrest Rd
Ste. J104
Dallas, TX 75230-1532

Mailing address

6939 Mill Falls Dr
Dallas, TX 75248-2913
Phone (214) 563-2126

Other names 1

  • Ron Nevelow Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230001141 TX Practitioner - Clinical Social Worker 2567764004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Coping Center LLCGroup PAC ID 1456744713, 8 clinicians

Practice addresses (Care Compare)

5812 Hamilton Dr
The Colony, TX 75056-4348
Phone (217) 454-6113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24053TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
My Coping Center LLC CurrentSince Nov 20, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1881039832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 MILL FALLS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482913",
            "telephone_number": "214-563-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 HILLCREST RD",
            "address_2": "STE. J104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301532",
            "telephone_number": "214-563-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVELOW",
        "first_name": "RONALD",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "NEVELOW",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.