Provider Demographics
NPI:1376876409
Name:RUPE, CARMELA GEORGINA (MSW, LCSW)
Entity Type:Individual
Prefix:MISS
First Name:CARMELA
Middle Name:GEORGINA
Last Name:RUPE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W RALPH HALL PKWY STE 114
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6664
Mailing Address - Country:US
Mailing Address - Phone:214-646-3789
Mailing Address - Fax:214-261-2270
Practice Address - Street 1:930 W RALPH HALL PKWY STE 114
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6664
Practice Address - Country:US
Practice Address - Phone:214-646-3789
Practice Address - Fax:214-261-2270
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-089681041C0700X
TX1121111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical