Individual provider Active NPI

Chinh Si Trieu-Keele, PH.D., LCSW, CCM

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1063756385
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54279 Issued in TX
Practice address
2600 Gessner Rd
Ste 280
Houston, TX 77080-3839
Phone
(713) 468-6538
Fax
(713) 468-1042
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 54279 TX Primary

Addresses

Primary practice location

2600 Gessner Rd
Ste 280
Houston, TX 77080-3839

Mailing address

2020 Singleton St
Houston, TX 77008-4467
Phone (832) 206-7612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231227002930 TX Practitioner - Clinical Social Worker 9739539131 Reassigns benefits to 1 organization
I20241112002288 LA Practitioner - Clinical Social Worker 9739539131 Reassigns benefits to 1 organization
I20251027001974 NM Practitioner - Clinical Social Worker 9739539131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
54279TXMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Nov 15, 2023 Accepting new patients
Starbranch Psychiatry Associates PastSince Oct 17, 2008 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Networks

  • LA PPO C-SNP

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1063756385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SINGLETON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084467",
            "telephone_number": "832-206-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD",
            "address_2": "STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803839",
            "telephone_number": "713-468-6538",
            "fax_number": "713-468-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEU-KEELE",
        "first_name": "CHINH",
        "middle_name": "SI",
        "name_prefix": "Ms.",
        "credential": "PH.D., LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.