Active NPI
Victor Furtick, LCSW
- Clinical Social Worker
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104778 | TX | Primary |
| Clinical Social Worker | 1041C0700X | NY | ||
| Clinical Social Worker | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104778 | TX | MD | Clinical Social Worker |
| 103941 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlo Health, LLC | Clinical | Current | Accepting new patients |
| Talkspace Provider Network PA | Single Specialty | Current | Accepting new patients |
| Mood Clinical, P. C. | Single Specialty | Current | Accepting new patients |
| Glenn Medical Center, LLC | Past | Accepting new patients | |
| Wellyou Therapy | Clinical | Past | 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.
-
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1922675644
Single Specialty
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1598470049
-
- Clinical Social Worker
- Upland, CA
- NPI 1235887233
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
Single Specialty
-
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.