Individual provider Active NPI

Thomas L Hambleton, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1003383985
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10166 Issued in TX
Practice address
3100 Weslayan St Ste 350
Houston, TX 77027-5733
Phone
(713) 963-0769
Fax
(713) 963-8536
NPI assigned
Oct 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10166 TX Primary

Addresses

Primary practice location

3100 Weslayan St Ste 350
Houston, TX 77027-5733

Mailing address

3100 Weslayan St Ste 350
Houston, TX 77027-5733
Phone (713) 963-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508000190 TX Practitioner - Clinical Social Worker 8426390626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivan C Spector MD PAGroup PAC ID 1052574399, 2 clinicians

Practice addresses (Care Compare)

3100 Weslayan St
Suite 280
Houston, TX 77027-5733
Phone (713) 963-0769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10166TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ivan C Spector MD PA CurrentSince Mar 27, 2019 Accepting new patients
Michael E. Buxbaum, D.O. P.a. PastSince Jul 1, 2004 Accepting new patients

Locations

3100 Weslayan St
Ste 280
Houston, TX 77027
Phone (713) 963-0769

3100 Weslayan St
Ste 350
Houston, TX 77027
Phone (713) 533-1700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1003383985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275733",
            "telephone_number": "713-963-0769",
            "fax_number": "713-963-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275733",
            "telephone_number": "713-963-0769",
            "fax_number": "713-963-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLETON",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.