Active NPI
Dena Kohleriter, LCSW
- Clinical Social Worker
- Plano, TX
National Provider Identifier
1932394400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31964
- Practice address
- 1721 W Plano Pkwy Ste 107
Plano, TX 75075-8633 - Phone
- (469) 737-0451
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 31964 | TX | Primary |
Addresses
Primary practice location
1721 W Plano Pkwy Ste 107
Plano, TX 75075-8633
Mailing address
7123 Hunters Ridge Dr
Dallas, TX 75248-5205
Phone (972) 365-9262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31964 | Other | TX | STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1932394400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7123 HUNTERS RIDGE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752485205",
"telephone_number": "972-365-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 W PLANO PKWY STE 107",
"city": "PLANO",
"state": "TX",
"postal_code": "750758633",
"telephone_number": "469-737-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLERITER",
"first_name": "DENA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "31964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "31964",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.