Individual provider Active NPI

Adia Nishati Naba, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1093038622
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011404 Issued in IL
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

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822001331 TX Practitioner - Clinical Social Worker 8123159712 Reassigns benefits to 1 organization

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
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

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

LicenseStateTypeSpecialty
66370TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.