IVORY PARK PLLC
Social Worker (Clinical)

Address: 3824 Cedar Springs Rd # 153, Dallas, TX 75219-4136

IVORY PARK PLLC (NPI# 1073191755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073191755
Entity Type Organization
Organization Name IVORY PARK PLLC
Practice Address 3824 Cedar Springs Rd # 153
Dallas
TX 75219-4136
Practice Telephone 4696340050
Mailing Address 3824 Cedar Springs Rd # 153
Dallas
TX 75219-4136
Certification Date 2021-03-11
Enumeration Date 2021-04-01
Last Update Date 2021-04-01
Authorized Official Telephone 4696340050
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 1041C0700X Social Worker
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1639461106 CA MEDICAID
1548406689 GA MEDICAID

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL https://www.simplepractice.com (Electronic Health Record) 3824 Cedar Springs Rd # 153, Dallas, TX 752194136 Health Information Exchange (HIE) CSV

Office Location

Street Address 3824 CEDAR SPRINGS RD # 153
City DALLAS
State TX
Zip Code 75219-4136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427638444 Saptura Neurology Pllc Specialist/Technologist, Other - Electroneurodiagnostic 3824 Cedar Springs Rd # 707, Dallas, TX 75219-4136 2021-04-13
1558973628 Hisham Beshir Pharmacist 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 2020-08-20
1154808103 Kbar Diagnostics, Pllc Anesthesiology 3824 Cedar Springs Rd #324, Dallas, TX 75219-4136 2018-07-23
1033582101 Royce Norris Pharmacist 3826 Cedar Springs Rd, Dallas, TX 75219-4136 2015-11-11
1144697236 Clan Iom, Pllc Electrodiagnostic Medicine 3824 Cedar Springs Rd # 340, Dallas, TX 75219-4136 2015-08-25
1013304062 Smartccm LLC Case Management 3824 Cedar Springs Rd # 433, Dallas, TX 75219-4136 2015-04-16
1578968962 Rick D Lamb Emergency Medicine - Emergency Medical Services 3824 Cedar Springs Rd # 801-3443, Dallas, TX 75219-4136 2014-10-27
1346495736 Robert James Rowntree II Internal Medicine 3824 Cedar Springs Rd, #101-438, Dallas, TX 75219-4136 2008-11-26
1942813472 Rexston Moul Pharmacist 3826 Cedar Springs Rd, Dallas, TX 75219-4136 2020-08-25
1780296855 Ricardo Myers Pharmacist 3826 Cedar Springs Rd, Dallas, TX 75219-4136 2020-08-20
Find all providers in zip 75219-4136

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1174082150 Cmdpn Medical Group of Texas, P.a. Clinic/Center - Emergency Care 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 2019-03-18
1124590617 Munay Heart Center Counseling, Pllc Social Worker - Clinical 3333 Lee Parkway, Suite 600, Dallas, TX 75219 2018-12-20
1245700871 Reginald Deloatch Day Training/Habilitation Specialist 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 2018-11-27
1255815429 Elk Monitoring,Pllc Electrodiagnostic Medicine 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 2018-09-24
1750861795 Darya Semenyuk Counselor - Professional 3720 Rawlins St. Suite I, Dallas, TX 75219 2018-08-20
1255811154 Matias Haller Physical Therapist 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 2018-08-20
1144716580 My Health & Homecare Transportation Inc · Hhc Transport Non-emergency Medical Transport (VAN) 3710 Rawlins St Ste 1420, Dallas, TX 75219 2018-07-09
1750876785 David Dwayne Weir · David Dwayne Rogers Jr. Registered Nurse 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 2018-06-22
1053802264 Stem Cell Pros LLC Durable Medical Equipment & Medical Supplies 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 2018-05-23
1346749231 White Dental Limited Company Pllc · White Dental Spa Clinic/Center - Dental 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 2018-02-06
Find all providers in zip 75219

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790370922 Veronica Lopez Social Worker - Clinical 111 W Davis St Apt 2302, Dallas, TX 75208-4472 2021-03-09
1932794948 Kristina Joseph Social Worker - Clinical 251 Garland Rose Ln, Dallas, GA 30157-5017 2021-03-02
1710571856 Pedro Damian Narvaez Social Worker - Clinical 9802 Valley Meadow Pl, Dallas, TX 75220-2860 2021-03-01
1700470192 Listeners On Call Inc Social Worker - Clinical 9314 Larchwood Dr, Dallas, TX 75238-2712 2021-02-25
1922697697 Kristen Elizabeth Edwards Social Worker - Clinical 5418 Denton Dr, Dallas, TX 75235-7511 2021-01-15
1326635087 Leslie Sullivan Social Worker - Clinical 3419 Westminster Ave # 215, Dallas, TX 75205-1387 2020-12-29
1831785229 Lisa Schrakamp Social Worker - Clinical 7232 Fernmeadow Dr, Dallas, TX 75248-5605 2020-12-19
1740882067 Brooke Elisabeth Etie Social Worker - Clinical 3331 Gladiolus Ln, Dallas, TX 75233-3801 2020-11-11
1083214704 Mikael Stefan Ferm Social Worker - Clinical 8140 Walnut Hill Ln Ste 440, Dallas, TX 75231-4350 2020-10-30
1275132805 Sarah Gates Social Worker - Clinical 8330 Meadow Rd Ste 201, Dallas, TX 75231-0315 2020-10-24
Find all providers in DALLAS

Competitor

Search similar providers

City DALLAS
Zip Code 75219

Similar providers

NPI Name Taxonomy Address Enumeration
1275027591 Ivory Dental Pllc Dentist - General Practice 424 N. Warren Ave., Newport, WA 99156 2018-06-20
1134608581 Ivory Hancock Dmd,Pc · Presidential Dental Group, Pllc Dentist - General Practice 1026 16th St Nw Ste 105, Washington, DC 20036-5711 2018-08-07
1104311257 Ivory Headspeth Mitchell · Ivory Headspeth Case Manager/Care Coordinator 906 C M Fagan Dr Bldg A, Hammond, LA 70403-6056 2018-06-29
1144725680 Partnership Park Chiropractic, Pllc · Annie C Bernstein, Pllc Chiropractor 401 N Mechanic St, Jackson, MI 49201-1306 2018-03-27
1346757713 Dental Park of Mcallen2, Pllc · Dental Park Dentist - General Practice 3300 N Mccoll Rd Ste M, Mcallen, TX 78501-5693 2018-01-06
1437666807 Dental Park of Mcallen1, Pllc · Dental Park Dentist - General Practice 930 E Expressway 83, Mcallen, TX 78503-1613 2018-01-06
1417509746 In Kwon Park Md Pllc Internal Medicine - Infectious Disease 11216 Sunrise Blvd E Ste 3-103, Puyallup, WA 98374-8848 2019-07-16
1144800194 Park Psychology Pllc Psychologist 1115 Broadway Fl 12, New York, NY 10010-3452 2021-04-13
1821616566 Boram Park, M.d., Pllc Clinic/Center 3607 Oak Lawn Ave Ste 270, Dallas, TX 75219-4743 2020-07-09
1043838063 Suzan Park, Od Pllc Optometrist 1128 N Galloway Ave, Mesquite, TX 75149-7415 2020-07-07

Improve Information

Please provide details on IVORY PARK PLLC by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches