Individual provider Active NPI

Katie Ann Keyser, LCSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1124454715
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
57797 Issued in TX
Practice address
4203 Montrose Blvd Ste 310
Houston, TX 77006-5467
Phone
(281) 507-4618
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 57797 TX Primary

Addresses

Primary practice location

4203 Montrose Blvd Ste 310
Houston, TX 77006-5467

Mailing address

4203 Montrose Blvd Ste 310
Houston, TX 77006-5467
Phone (281) 507-4618

Other practice location 1

12301 Main St
Houston, TX 77035-6207
Phone (713) 275-5230

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

State licenses

LicenseStateTypeSpecialty
57797TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1124454715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 MONTROSE BLVD STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065467",
            "telephone_number": "281-507-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 MONTROSE BLVD STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065467",
            "telephone_number": "281-507-4618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770356207",
            "country_code": "US",
            "telephone_number": "713-275-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "57797",
            "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 3, 2019; 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.