Ebony Kimario, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57282 Issued in TX

Practice address

6035 Airline Dr Ste 3
Houston, TX 77076-4224

Phone

(832) 338-7103

NPI assigned

May 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Care Oasis, LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1053153981
  NPD Authorized official
• The Oasis Treatment Center LLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1407242365

  Social Worker

  NPD Authorized official

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1033731377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 AIRLINE DR STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764224",
            "telephone_number": "832-338-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 AIRLINE DR STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764224",
            "telephone_number": "832-338-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMARIO",
        "first_name": "EBONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ebony.kimario@theoasistreatmentcenter.com",
            "affiliation": "Y",
            "affiliationName": "The Oasis Treatment Center LLC",
            "address_1": "6035 Airline Dr Ste 3",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770764224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Young Il Kim, MD
• Young Suk Kim, MD
• Karina Kima, AA
• Derek Joseph Kimani, PHARMD
• Maureen Wangui Kimani, MD
• Kathleen Ann Kimball-Doyle, RPH
• Colleen Rose Kimball, FNP-C
• William B Kimball, M.D.
• Constance Lynne Kimbark, PA-C
• Kimberly B. Holz Pediatric Speech and Language Pathology

• Clinical Social Worker in Houston, TX
• Providers in Houston, 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 Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.