Individual provider Active NPI

Constance Diane Engels, M.S.S.W.

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1902940414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04693 Issued in TX
Practice address
7557 Rambler Rd
Suite 802
Dallas, TX 75231-4142
Phone
(214) 750-8488
Fax
(214) 373-0964
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 04693 TX Primary

Addresses

Primary practice location

7557 Rambler Rd
Suite 802
Dallas, TX 75231-4142

Mailing address

5123 Springmeadow Dr
Dallas, TX 75229-4327
Phone (214) 373-0966

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04693TXMDClinical Social Worker
4693TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902940414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 SPRINGMEADOW DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294327",
            "telephone_number": "214-373-0966",
            "fax_number": "214-373-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "SUITE 802",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "214-750-8488",
            "fax_number": "214-373-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELS",
        "first_name": "CONSTANCE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "M.S.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "04693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.