Individual provider Active NPI

Neftali Martinez Cervantes, LCSW, LCDC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1073721924
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54495 Issued in TX
Practice address
9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001
Phone
(832) 733-1100
Fax
(832) 825-9461
NPI assigned
May 21, 2007
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 54495 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 9454 TX
Clinical Social Worker 1041C0700X 54495 TX Primary

Addresses

Primary practice location

9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001

Mailing address

9700 Bissonnet St Ste 1000W
Houston, TX 77036-8001
Phone (832) 733-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54495TXMDClinical Social Worker
9454TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1073721924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 BISSONNET ST STE 1000W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368001",
            "telephone_number": "832-733-1100",
            "fax_number": "832-825-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 BISSONNET ST STE 1000W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368001",
            "telephone_number": "832-733-1100",
            "fax_number": "832-825-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "NEFTALI",
        "middle_name": "MARTINEZ",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54495",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9454",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.