Active NPI
Rosita Maria Waden-Brooks, LCSW
- Clinical Social Worker
- Baytown, TX
National Provider Identifier
1003043282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37600
- Practice address
- 4721 Garth Rd
Suite C200
Baytown, TX 77521-2153 - Phone
- (832) 343-3413
- Fax
- (888) 820-3626
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37600 | TX | Primary |
Addresses
Primary practice location
4721 Garth Rd
Suite C200
Baytown, TX 77521-2153
Mailing address
PO Box 52687
Houston, TX 77052-2687
Phone (281) 458-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37600 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurasource LTD | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Plano, TX
- NPI 1194746016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1003043282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52687",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770522687",
"telephone_number": "281-458-6466",
"fax_number": "888-820-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 GARTH RD",
"address_2": "SUITE C200",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775212153",
"telephone_number": "832-343-3413",
"fax_number": "888-820-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADEN-BROOKS",
"first_name": "ROSITA",
"middle_name": "MARIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "37600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.