Active NPI
P Brad Imler, LCSW, PH.D.
- Clinical Social Worker
- Irving, TX
National Provider Identifier
1952928871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25212
- Practice address
- 1931 Brenton St
Irving, TX 75062-3553 - Phone
- (214) 808-5798
- NPI assigned
- Jun 26, 2020
- Sex
- Male
- 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 | 25212 | TX | Primary |
Addresses
Primary practice location
1931 Brenton St
Irving, TX 75062-3553
Mailing address
1931 Brenton St
Irving, TX 75062-3553
Phone (214) 808-5798
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25212 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1952928871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 BRENTON ST",
"city": "IRVING",
"state": "TX",
"postal_code": "750623553",
"telephone_number": "214-808-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BRENTON ST",
"city": "IRVING",
"state": "TX",
"postal_code": "750623553",
"telephone_number": "214-808-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMLER",
"first_name": "P",
"middle_name": "BRAD",
"credential": "LCSW, PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "25212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.