Individual provider Active NPI

Yasiva C. Canga-Gonzalez, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1043966328
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59485 Issued in TX
Practice address
925 N Shepherd Dr
Houston, TX 77008-6526
Phone
(713) 486-7200
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 59485 TX Primary

Addresses

Primary practice location

925 N Shepherd Dr
Houston, TX 77008-6526

Mailing address

925 N Shepherd Dr
Houston, TX 77008-6526
Phone (713) 486-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20230626002835 TX Practitioner - Clinical Social Worker 2466810296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

925 No Shepherd
Heights Multi Special
Houston, TX 77008-6526
Phone (713) 486-7200

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59485TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Apr 17, 2023 Accepting new patients
Ut Physicians CurrentSince Apr 17, 2023 Accepting new patients

Locations

925 N Shepherd Dr
Houston, TX 77008
Phone (713) 486-7200

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1043966328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086526",
            "telephone_number": "713-486-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086526",
            "telephone_number": "713-486-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGA-GONZALEZ",
        "first_name": "YASIVA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.