Individual provider Active NPI

Margaret M Di Jacklin, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1992757207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13905 Issued in TX
Practice address
17625 El Camino Real
160
Houston, TX 77058-3052
Phone
(281) 798-9362
Fax
(281) 286-0041
NPI assigned
May 16, 2006
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 13905 TX Primary

Addresses

Primary practice location

17625 El Camino Real
160
Houston, TX 77058-3052

Mailing address

17625 El Camino Real
160
Houston, TX 77058-3052
Phone (281) 798-9362

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
13905TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992757207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 EL CAMINO REAL",
            "address_2": "160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583052",
            "telephone_number": "281-798-9362",
            "fax_number": "281-286-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 EL CAMINO REAL",
            "address_2": "160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583052",
            "telephone_number": "281-798-9362",
            "fax_number": "281-286-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI JACKLIN",
        "first_name": "MARGARET",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "13905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, 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.