MEDICARE: MR. DONALD LOUIS STILES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	108467	TX
2	104100000X	Social Worker	108467	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	108467	OTHER	TX	TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS

General Provider Information

NPI Number	:	1124733589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD LOUIS STILES LCSW

Provider Business Mailing Address
First Line	:	2859 ROBERTSON WAY
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-6292
Country	:	US
Telephone Number	:	469-983-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 W MOCKINGBIRD LN STE 105
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4936
Country	:	US
Telephone Number	:	469-983-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	01/18/2026

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