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NPI Code Detail

MEDICARE: SOPHIA DINWIDDIE DONALD LCSW

MEDICARE:   SOPHIA  DINWIDDIE DONALD  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
1104100000XSocial Worker62703TX
2171M00000XCase Manager/Care Coordinator62703TX
3347C00000XPrivate Vehicle
4347E00000XTransportation Broker
5251B00000XCase Management Agency
6342000000XTransportation Network Company
7343800000XSecured Medical Transport (VAN)
81041C0700XClinical Social Worker62703TX
9343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1699233577
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA DINWIDDIE DONALD LCSW
Provider Business Mailing Address
First Line : 6230 N BELT LINE RD STE 305
Second Line :
City : IRVING
State : TX
Zip : 75063-2657
Country : US
Telephone Number : 817-369-8214
Fax Number : 682-333-0624
Provider Business Practice Location Address
First Line : 6220 N BELT LINE RD STE 208
Second Line :
City : IRVING
State : TX
Zip : 75063-2656
Country : US
Telephone Number : 817-369-8214
Fax Number : 682-333-0624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2019
Last Update Date : 06/09/2026

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Directions to “ SOPHIA DINWIDDIE DONALD LCSW” Practice Location

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