Active NPI
Emmanuel Joshy Varghese
- Clinical Social Worker
- Garland, TX
National Provider Identifier
1881278141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66855
- Practice address
- 675 Town Square Blvd Ste 200
Garland, TX 75040-2991 - Phone
- (972) 576-9707
- NPI assigned
- May 11, 2021
- Last updated
- Nov 26, 2024
- Sex
- Male
- 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 | 66855 | TX | Primary |
Addresses
Primary practice location
675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Mailing address
1522 Broadview Dr
Garland, TX 75042-4044
Other practice location 1
2300 Marie Curie Dr # 5
Garland, TX 75042-5706
Phone (972) 487-5309
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 |
|---|---|---|---|
| 66855 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitefields Health Services PLLC | Past | 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.
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- Richmond, TX
- NPI 1366188039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1881278141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 BROADVIEW DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750424044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 TOWN SQUARE BLVD STE 200",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402991",
"telephone_number": "972-576-9707"
}
],
"practiceLocations": [
{
"address_1": "2300 Marie Curie Dr # 5",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750425706",
"country_code": "US",
"telephone_number": "972-487-5309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGHESE",
"first_name": "EMMANUEL",
"middle_name": "JOSHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "66855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.