NPIMap

Organization Active NPI

Department of Veteran Affairs

  • Social Worker
  • Dallas, TX
National Provider Identifier
1992910723
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
50681 Issued in TX
Legal business name
DEPARTMENT OF VETERAN AFFAIRS
Practice address
4500 S Lancaster Rd
MH Copper Team 116a
Dallas, TX 75216-7167
Phone
(214) 857-0912
NPI assigned
May 14, 2007
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Diana Willis, L.M.S.W.
Title
Mental Health Social Worker
Phone
(214) 857-0912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 50681 TX Primary

Addresses

Primary practice location

4500 S Lancaster Rd
MH Copper Team 116a
Dallas, TX 75216-7167

Mailing address

610 Jagera Way
Arlington, TX 76002-4582
Phone (214) 857-0912

National Provider Directory

National Provider Directory
Tax ID family
Veterans Hosptial179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1992910723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JAGERA WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024582",
            "telephone_number": "214-857-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "MH COPPER TEAM 116A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MENTAL HEALTH SOCIAL WORKER",
        "authorized_official_telephone_number": "214-857-0912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "50681",
            "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 Jan 25, 2008; 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.