Individual provider Active NPI

Dominique R Bernard, MSW, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1124489133
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59561 Issued in TX
Practice address
2950 North Loop W
Houston, TX 77092-8843
Phone
(866) 262-4581
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 59561 TX Primary
Clinical Social Worker 1041C0700X 10982 LA

Addresses

Primary practice location

2950 North Loop W
Houston, TX 77092-8843

Mailing address

2950 North Loop W
Houston, TX 77092-8843
Phone (866) 262-4581

Other names 1

  • Dominique Bernard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250122001605 TX Practitioner - Clinical Social Worker 9830628742 Reassigns benefits to 1 organization
I20260520003582 LA Practitioner - Clinical Social Worker 9830628742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
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)

611 Rockmead Dr
Suite 100
Kingwood, TX 77339-2294
Phone (855) 284-7483

8888 Jefferson Hwy
Suite B
Baton Rouge, LA 70809-2427
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10982LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 12, 2024 Accepting new patients

Locations

8888 Jefferson Hwy
Ste B
Baton Rouge, LA 70809
Phone (318) 242-8051

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

611 Rockmead Dr
Ste 100
Kingwood, TX 77339
Phone (281) 713-8980

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

Organizations & group practices 1

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1124489133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928843",
            "telephone_number": "866-262-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928843",
            "telephone_number": "866-262-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "DOMINIQUE",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59561",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "BERNARD",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.