Individual provider Active NPI

Susan Kathleen McBride, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1124218649
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51048 Issued in TX
Practice address
7504 Bissonnet St # T-9
Houston, TX 77074-5502
Phone
(832) 658-5260
Fax
(713) 778-0859
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 51048 TX Primary

Addresses

Primary practice location

7504 Bissonnet St # T-9
Houston, TX 77074-5502

Mailing address

7504 Bissonnet St # T-9
Houston, TX 77074-5502
Phone (832) 658-5260

Other identifiers 1

IdentifierTypeStateIssuer
1124218649MedicaidTX

Other names 1

  • Susan Kathleen Brupbacher 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
I20240723003587 TX Practitioner - Clinical Social Worker 5799221016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

16310 Tomball Pkwy
Suite 104
Houston, TX 77064-1814
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51048TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 12, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hermann Community Benefit Corporation PastSince Jul 24, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

16310 Tomball Pkwy
Ste 104
Houston, TX 77064
Phone (210) 864-1420

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124218649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 BISSONNET ST # T-9",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745502",
            "telephone_number": "832-658-5260",
            "fax_number": "713-778-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 BISSONNET ST # T-9",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745502",
            "telephone_number": "832-658-5260",
            "fax_number": "713-778-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "SUSAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124218649",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRUPBACHER",
            "middle_name": "KATHLEEN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.