Individual provider Active NPI

Emmanuel Joshy Varghese

  • Clinical Social Worker
  • Garland, TX
National Provider Identifier
1881278141
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66855 Issued in TX
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 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

LicenseStateTypeSpecialty
66855TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whitefields Health Services PLLC PastSince Feb 12, 2022 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": "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.

Verify at the official NPI Registry.