Clinical Social Work Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLINICAL SOCIAL WORK SERVICES

Practice address

3005 Avenue H
Nederland, TX 77627-7607

Phone

(409) 724-1920

Fax

(409) 724-1102

NPI assigned

Sep 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carolyn Jo Bourg, LCSW

Title

Partner

Phone

(409) 724-1920

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Delores Tomplait, LCSW-BCD

  • Clinical Social Worker
  • Nederland, TX
  • NPI 1366548422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1003002593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 AVENUE H",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277607",
            "telephone_number": "409-724-1920",
            "fax_number": "409-724-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 AVENUE H",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277607",
            "telephone_number": "409-724-1920",
            "fax_number": "409-724-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SOCIAL WORK SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BOURG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "409-724-1920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandrakant G Patel
• Gerardo Antonio Chica, MD
• Hyun Cho, PHARM.D
• Christopher GLN Browning
• Madhuri Chunduri, PHARMD
• Stephanie Rachele Cloud, APRN, FNP-C
• Compass Psychiatry Services, PLLC
• Aaron Cook
• Cheryl June Cooper, OTR, CHT
• Lance Anthony Craig, M.D.

• Clinical Social Worker in Nederland, TX
• Providers in Nederland, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.