Individual provider Active NPI

Chandre Ward, LCSW

  • Clinical Social Worker
  • Porter, TX
National Provider Identifier
1144989732
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61546 Issued in TX
Practice address
21311 Avett Dr
Porter, TX 77365-3485
Phone
(713) 419-8865
NPI assigned
Dec 11, 2021
Last updated
Dec 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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 61546 TX Primary

Addresses

Primary practice location

21311 Avett Dr
Porter, TX 77365-3485

Mailing address

21311 Avett Dr
Porter, TX 77365-3485
Phone (713) 419-8865

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
I20221013000176 TX Practitioner - Clinical Social Worker 6204202427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearhope Counseling and Wellness Center PCGroup PAC ID 6800132358, 17 clinicians

Practice addresses (Care Compare)

6021 Fairmont Pkwy
Suite 200
Pasadena, TX 77505-4511
Phone (281) 769-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61546TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearhope Counseling and Wellness Center, PC Clinical CurrentSince Sep 28, 2022 Accepting new patients

Locations

6021 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 769-2238

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1144989732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 AVETT DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653485",
            "telephone_number": "713-419-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21311 AVETT DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653485",
            "telephone_number": "713-419-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CHANDRE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.