Individual provider Active NPI

Elizabeth Dexter

  • Clinical Social Worker
  • Missouri City, TX
National Provider Identifier
1003422957
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19523 Issued in TX
Practice address
5777 Sienna Pkwy Ste 350
Missouri City, TX 77459-7403
Phone
(281) 778-8715
Fax
(281) 778-8734
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 19523 TX Primary

Addresses

Primary practice location

5777 Sienna Pkwy Ste 350
Missouri City, TX 77459-7403

Mailing address

5777 Sienna Pkwy Ste 350
Missouri City, TX 77459-7403
Phone (281) 778-8715

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
I20201008002303 TX Practitioner - Clinical Social Worker 3173943388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solace Center Sienna PLLCGroup PAC ID 5890035950, 2 clinicians

Practice addresses (Care Compare)

5777 Sienna Pkwy
Suite 350
Missouri City, TX 77459-7403
Phone (281) 778-8715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19523TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Center Sienna PLLC CurrentSince Jul 4, 2020 Accepting new patients

Locations

5777 Sienna Pkwy
Ste 350
Missouri City, TX 77459
Phone (281) 778-8715

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1003422957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 SIENNA PKWY STE 350",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597403",
            "telephone_number": "281-778-8715",
            "fax_number": "281-778-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 SIENNA PKWY STE 350",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597403",
            "telephone_number": "281-778-8715",
            "fax_number": "281-778-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.