Individual provider Active NPI

Jenniesha Liz Figueroa Torres, LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1114526878
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67629 Issued in TX
Practice address
1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044
Phone
(281) 608-1346
NPI assigned
Oct 22, 2020
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 67629 TX Primary

Addresses

Primary practice location

1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044

Mailing address

10814 Dover White Dr
Humble, TX 77396-4971
Phone (832) 436-5384

Other names 1

  • Jenniesha Liz Figueroa Former name

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
I20240718000054 TX Practitioner - Clinical Social Worker 9931645629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67629TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1114526878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 DOVER WHITE DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964971",
            "telephone_number": "832-436-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA TORRES",
        "first_name": "JENNIESHA",
        "middle_name": "LIZ",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIESHA",
            "last_name": "FIGUEROA",
            "middle_name": "LIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.