Individual provider Active NPI

Mercedes Beckford-Anderson

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1164112884
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1423 Mustang Lake CT
Richmond, TX 77406-7961
Phone
(281) 972-5565
NPI assigned
May 8, 2023
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 104437 TX
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1423 Mustang Lake CT
Richmond, TX 77406-7961

Mailing address

1423 Mustang Lake CT
Richmond, TX 77406-7961
Phone (281) 972-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104437TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1164112884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 MUSTANG LAKE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067961",
            "telephone_number": "281-972-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 MUSTANG LAKE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067961",
            "telephone_number": "281-972-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKFORD-ANDERSON",
        "first_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.