Provider Demographics
NPI:1700985959
Name:APPEL, JUDITH R (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:R
Last Name:APPEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:JUDITH
Other - Middle Name:R
Other - Last Name:BLEICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2600 E RENNER
Mailing Address - Street 2:161
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082
Mailing Address - Country:US
Mailing Address - Phone:214-485-1936
Mailing Address - Fax:972-644-8557
Practice Address - Street 1:1401 N CENTRAL EXPWY
Practice Address - Street 2:STE 375
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080
Practice Address - Country:US
Practice Address - Phone:972-859-9343
Practice Address - Fax:972-644-8557
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX420421041C0700X
MO8W0002821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO085681OtherVALUE OPTIONS
TX3998OtherWARREN SHEPELL
TX085681OtherVALUE OPTIONS
TX0035NNOtherBL CROSS BL SHIELD
TX6252177OtherUNITED HEALTH CARE
TX6252177OtherUNITED HEALTH CARE