Individual provider Active NPI

Carmel Mary O'Reardon, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1114196698
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34140 Issued in TX
Practice address
2828 Bammel LN Apt 810
Houston, TX 77098-1146
Phone
(832) 721-7470
Fax
(832) 520-9488
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 34140 TX Primary

Addresses

Primary practice location

2828 Bammel LN Apt 810
Houston, TX 77098-1146

Mailing address

2828 Bammel LN Apt 810
Houston, TX 77098-1146
Phone (832) 721-7470

Other identifiers 5

IdentifierTypeStateIssuer
01411352OtherTXAMERIGROUP
172970907MedicaidTX
172970902MedicaidTX
172970903MedicaidTX
TXB122976OtherTXMEDICARE

Other names 1

  • Core Community Care Other name

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
34140TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anieves Corporation Past Accepting new patients
Core Community Care, PLLC Past Accepting new patients
Core Community Care, PLLC Past Accepting new patients

Organizations & group practices 3

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1114196698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 BAMMEL LN APT 810",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981146",
            "telephone_number": "832-721-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 BAMMEL LN APT 810",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981146",
            "telephone_number": "832-721-7470",
            "fax_number": "832-520-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REARDON",
        "first_name": "CARMEL",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01411352",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172970907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172970902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172970903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB122976",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORE",
            "last_name": "CARE",
            "middle_name": "COMMUNITY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 24, 2026; 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.