Individual provider Active NPI

Emely Bueno, MSW, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1073236709
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66987 Issued in TX
Practice address
11070 Katy Fwy Apt 1366
Houston, TX 77043-4771
Phone
(401) 419-5328
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2220-123 WI
Clinical Social Worker 1041C0700X ISW04324 RI
Clinical Social Worker 1041C0700X 5226 NH
Clinical Social Worker 1041C0700X 6801119389 MI
Clinical Social Worker 1041C0700X 66987 TX Primary

Addresses

Primary practice location

11070 Katy Fwy Apt 1366
Houston, TX 77043-4771

Mailing address

11070 Katy Fwy Apt 1366
Houston, TX 77043-4771
Phone (401) 419-5328

Other practice location 1

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other practice location 2

10 Dorrance St
Providence, RI 02903-2018
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, NH3 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
I20250131001942 MI Practitioner - Clinical Social Worker 0648630616 Reassigns benefits to 1 organization
I20250320002679 WI Practitioner - Clinical Social Worker 0648630616 Reassigns benefits to 2 organizations
I20250325003757 NH Practitioner - Clinical Social Worker 0648630616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5226NHMDMental Health Counselor
6801119389MIMDClinical Social Worker
ISW04324RIMDClinical Social Worker
2220-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Psychiatric Center Inc. Clinical CurrentSince Jan 28, 2025 Accepting new patients
Bellin Psychiatric Center Inc CurrentSince Mar 10, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 10, 2025 Accepting new patients
Bellin Psychiatric Center Inc. Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 10, 2025 Accepting new patients
Elliot Professional Services Past Accepting new patients

Locations

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630

Organizations & group practices 7

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1073236709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 KATY FWY APT 1366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434771",
            "telephone_number": "401-419-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 KATY FWY APT 1366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434771",
            "telephone_number": "401-419-5328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Esters Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632233",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032018",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENO",
        "first_name": "EMELY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2220-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04324",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5226",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119389",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.