Self Care Club PLLC is a Clinical Social Worker (organization) practicing in Dallas, Texas. The National Provider Identifier (NPI) is #1629877667, which was assigned on March 11, 2025, and the registration record was last updated on March 11, 2025. The practitioner's main practice location is at 6500 Greenville Ave Ste 430, Dallas, TX 75206-1014; the contact telephone number is 2146649042. The primary taxonomy of Self Care Club PLLC is Clinical Social Worker (1041C0700X), with specialization in Clinical. The authorized official for Self Care Club PLLC is Shannon Carroll (Owner).
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.
| NPI | 1629877667 |
| Entity Type | Organization |
| Organization Name | SELF CARE CLUB PLLC |
| Provider Name | SELF CARE CLUB PLLC |
| Practice Address |
6500 Greenville Ave Ste 430 Dallas TX 75206-1014 |
| Practice Telephone | 2146649042 |
| Mailing Address |
2488 Fort Worth Ave Apt 11213 Dallas TX 75211-1852 |
| Mailing Telephone | 6829990997 |
| Certification Date | 2025-03-11 |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |
| Is Organization Subpart | N |
| Official Name | SHANNON CARROLL |
| Official Title | OWNER |
| Credential | LCSW |
| Telephone | 2146649042 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker | Clinical | 193400000X SINGLE SPECIALTY GROUP |
| Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| Classification | Social Worker |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| 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] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gianna Giovanello | 3172 Pheasant Run Dr Apt 206, Lafayette, IN 47909-3347 | Clinical Social Worker | 2025-09-06 |
| Valora Counseling Services LLC | 210 2nd St, Lincoln, IL 62656-2603 | Clinical Social Worker | 2025-09-06 |
| Trifecta Psychotherapy LLC | 2095 E 4500 S, Holladay, UT 84117-4319 | Clinical Social Worker | 2025-09-06 |
| Imperfectly Perfect Counseling and Wellness Center | 220 Davidson Ave Ste 200a, Somerset, NJ 08873-4144 | Clinical Social Worker | 2025-09-06 |
| Jacob Sweetow | 4905 Old Orchard Ctr Ste 521, Skokie, IL 60077-4736 | Clinical Social Worker | 2025-09-05 |
| Positive Synergy, LLC | 1000 Meadow View Dr, Salisbury, MD 21804-1512 | Clinical Social Worker | 2025-09-06 |
| White Pines Play Collaborative | 14 E James St, Ely, MN 55731-1343 | Clinical Social Worker | 2025-09-06 |
| Faith Therapy and Wellness PLLC | 32903 S Red Leaf Ln, Brookshire, TX 77423-9185 | Clinical Social Worker | 2025-09-06 |
| Damien Juwon Johnson | 5600 77 Center Dr Ste 245, Charlotte, NC 28217-2705 | Clinical Social Worker | 2025-09-06 |
| Rebecca Dymond | 107 S 5th St, Richmond, VA 23219-3825 | Clinical Social Worker | 2025-09-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
2488 FORT WORTH AVE APT 11213 |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-1852 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Leila Dianne Scrivner · Leila Dianne Mason | 2428 Bahama Dr, Dallas, TX 75211-2121 | Geriatric Physical Therapist | 2009-03-06 |
| Ja'Cordia Hill | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | Case Manager/Care Coordinator | 2019-02-21 |
| Goto Eye Associates LLC | 4396 Dallas Fort Worth Tpke Ste 107, Dallas, TX 75211-1351 | Eyewear Supplier | 2023-10-04 |
| Manoj Chacko | 1050 N Westmoreland Rd Ste 314, Dallas, TX 75211-2444 | Pharmacist | 2025-09-03 |
| Ashley Young | 1400 N Westmoreland Rd, Dallas, TX 75211-1656 | Family Medicine Physician | 2021-04-20 |
| Justina Ifeoma Amalu | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | Psychiatric/Mental Health Nurse Practitioner | 2011-01-12 |
| Edoghogho Stacy Edosonmwan | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | Psychiatric/Mental Health Nurse Practitioner | 2019-03-01 |
| Providence Health Care Agency LLC | 2538 Bahama Dr Apt 238, Dallas, TX 75211-2137 | Personal Care Attendant | 2024-08-23 |
| Brittani Taylor | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | Counselor | 2018-12-21 |
| Dallas County Hospital District | 1400 N Westmoreland Rd, Dallas, TX 75211-1656 | Psychiatry Physician | 2006-06-14 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kids Club Aba Co | 1560 Broadway Fl 16, Denver, CO 80202-6000 | Behavioral Analyst | 2025-07-28 |
| Club Move Physical Therapy PLLC | 23d Cambridge St, Burlington, MA 01803-4601 | Orthopedic Physical Therapist | 2025-01-27 |
| The Kidz Club-Pdn, LLC | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | Nursing Care Agency | 2019-09-11 |
| Bj's Wholesale Club Inc. | 350 Campus Dr, Marlborough, MA 01752-3082 | Eyewear Supplier | 2020-09-17 |
| Glee Club Counseling and Consulting PLLC | 416 Mccullough Dr Ste 205, Charlotte, NC 28262-4392 | Substance Use Disorder Rehabilitation Clinic/Center | 2025-02-18 |
| The Sco Club | 1500 Monterrey Rd Ne, Rio Rancho, NM 87144-1584 | Home Health Agency | 2019-11-01 |
| Bahama Bay Club LLC | 3441 W 1st St, Sanford, FL 32771-1697 | Assisted Living Facility | 2025-02-12 |
| Blc-River Bay Club, LLC | 99 Brackett St, Quincy, MA 02169-4647 | Assisted Living Facility | 2025-05-29 |
| Kids Club Aba Mo LLC | 120 S Central Ave Ste 400, Clayton, MO 63105-1705 | Behavioral Analyst | 2024-05-30 |
| Kids Club Aba Nc | 101 N Tryon St Ste 600, Charlotte, NC 28246-0100 | Behavioral Analyst | 2025-08-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |