Active NPI
Adia Nishati Naba, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1093038622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011404
- Practice address
- 110 Cypress Station Dr Ste 157
Houston, TX 77090-1626 - Phone
- (281) 965-1019
- Fax
- (281) 990-6464
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 66370 | TX | |
| Clinical Social Worker | 1041C0700X | 149011404 | IL | Primary |
Addresses
Primary practice location
110 Cypress Station Dr Ste 157
Houston, TX 77090-1626
Mailing address
110 Cypress Station Dr Ste 157
Houston, TX 77090-1626
Phone (281) 965-1019
Other practice location 1
25511 Budde Rd Ste 2802
The Woodlands, TX 77380-2388
Phone (281) 281-1019
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2103 Research Forest Dr
Suite 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66370 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Psych Services, P.C. | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
-
- Clinical Psychologist
- Hinsdale, IL
- NPI 1174821946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1093038622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CYPRESS STATION DR STE 157",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770901626",
"telephone_number": "281-965-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CYPRESS STATION DR STE 157",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770901626",
"telephone_number": "281-965-1019",
"fax_number": "281-990-6464"
}
],
"practiceLocations": [
{
"address_1": "25511 Budde Rd Ste 2802",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773802388",
"country_code": "US",
"telephone_number": "281-281-1019",
"fax_number": "281-990-6464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NABA",
"first_name": "ADIA",
"middle_name": "NISHATI",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "66370",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011404",
"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 Dec 30, 2021; 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.