Individual provider Active NPI

Samuel Garcia, LCSW, LCDC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1154166395
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51642 Issued in TX
Practice address
4430 Harrisburg
Suite 240
Houston, TX 77011
Phone
(713) 798-6333
NPI assigned
Jun 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 51642 TX
Clinical Social Worker 1041C0700X 51642 TX Primary

Addresses

Primary practice location

4430 Harrisburg
Suite 240
Houston, TX 77011

Mailing address

10807 Fall Mill Dr
Houston, TX 77075-1456
Phone (713) 542-4304

Other practice location 1

10807 Fall Mill Dr
Houston, TX 77075-1456
Phone (713) 542-4304

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
I20240801004465 TX Practitioner - Clinical Social Worker 7810434354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

4430 Harrisburg Blvd
Ste 240
Houston, TX 77011
Phone (713) 798-6333

1 Baylor Plz
#2
Houston, TX 77030

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1154166395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 FALL MILL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770751456",
            "telephone_number": "713-542-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 HARRISBURG",
            "address_2": "SUITE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77011",
            "telephone_number": "713-798-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10807 Fall Mill Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770751456",
            "country_code": "US",
            "telephone_number": "713-542-4304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SAMUEL",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "51642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.