Individual provider Active NPI

Dianne Wilson Appolito, LCSW

  • Clinical Social Worker
  • Katy, TX
National Provider Identifier
1972633295
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06714 Issued in TX
Practice address
20915 Kingsland Blvd
Katy, TX 77450
Phone
(281) 579-0703
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 06714 TX Primary

Addresses

Primary practice location

20915 Kingsland Blvd
Katy, TX 77450

Mailing address

20915 Kingsland Blvd
Katy, TX 77450-5548
Phone (281) 579-0703

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
06714TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Creek Psychotherapy and Wellness Center CurrentSince Jul 28, 2021 Accepting new patients

Locations

20915 Kingsland Blvd
Katy, TX 77450
Phone (281) 579-0703

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1972633295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20915 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-0703",
            "fax_number": "281-398-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20915 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-579-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPOLITO",
        "first_name": "DIANNE",
        "middle_name": "WILSON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "06714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.