Individual provider Active NPI

Jacquelyn Denaye Okeke, LCSW

  • Clinical Social Worker
  • Rosenberg, TX
National Provider Identifier
1174016018
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53194 Issued in TX
Practice address
5115 Avenue H Ste 701
Rosenberg, TX 77471-2013
Phone
(713) 486-1950
Fax
(713) 486-0858
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 53194 TX Primary

Addresses

Primary practice location

5115 Avenue H Ste 701
Rosenberg, TX 77471-2013

Mailing address

1941 East Rd
Houston, TX 77054-6010
Phone (713) 486-2700

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
I20180822002511 TX Practitioner - Clinical Social Worker 0042569105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5115 Ave H
Suite 701
Rosenberg, TX 77471-2477
Phone (713) 486-1950

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53194TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Dec 2, 2024 Accepting new patients
Ut Physicians CurrentSince Dec 2, 2024 Accepting new patients

Locations

740 Hospital Dr
Ste 220
Beaumont, TX 77701
Phone (409) 832-4900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

6410 Fannin St
#135
Houston, TX 77030

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

5115 Avenue H
Ste 701
Rosenberg, TX 77471
Phone (713) 486-1950

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Organizations & group practices 2

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1174016018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 EAST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2700",
            "fax_number": "713-486-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 AVENUE H STE 701",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712013",
            "telephone_number": "713-486-1950",
            "fax_number": "713-486-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "JACQUELYN",
        "middle_name": "DENAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.