Individual provider Active NPI

Victor Furtick, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1154938512
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104778 Issued in TX
Practice address
1942 W Gray St
# 391
Houston, TX 77019
Phone
(631) 213-7940
NPI assigned
Sep 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104778 TX Primary
Clinical Social Worker 1041C0700X NY
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 103941 CA

Addresses

Primary practice location

1942 W Gray St
# 391
Houston, TX 77019

Mailing address

1942 W Gray St # 391
Houston, TX 77019-4816
Phone (631) 213-7940

Other practice location 1

818 N Mountain Ave Ste 203A
Upland, CA 91786-4165
Phone (631) 213-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251023000764 CA Practitioner - Clinical Social Worker 9133527559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

50 California St
Suite 1500
San Francisco, CA 94111-1968

PO Box
Suite 52456
Phoenix, AZ 85072-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104778TXMDClinical Social Worker
103941CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlo Health, LLC Clinical Current Accepting new patients
Talkspace Provider Network PA Single Specialty CurrentSince Jan 19, 2025 Accepting new patients
Mood Clinical, P. C. Single Specialty CurrentSince Aug 9, 2025 Accepting new patients
Glenn Medical Center, LLC PastSince Aug 9, 2025 Accepting new patients
Wellyou Therapy Clinical PastSince Dec 21, 2025 Accepting new patients

Locations

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 5

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1154938512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 W GRAY ST # 391",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194816",
            "telephone_number": "631-213-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 W GRAY ST",
            "address_2": "# 391",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77019",
            "telephone_number": "631-213-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 N Mountain Ave Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864165",
            "country_code": "US",
            "telephone_number": "631-213-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURTICK",
        "first_name": "VICTOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104778",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.