Individual provider Active NPI

Ossenia Jeff, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1174982607
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56990 Issued in TX
Practice address
2500 E T C Jester Blvd
Suite 280
Houston, TX 77008-1365
Phone
(281) 764-1883
Fax
(281) 601-4677
NPI assigned
Feb 11, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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 56990 TX
Clinical Social Worker 1041C0700X 56990 TX Primary

Addresses

Primary practice location

2500 E T C Jester Blvd
Suite 280
Houston, TX 77008-1365

Mailing address

2500 E T C Jester Blvd
Suite 280
Houston, TX 77008-1365
Phone (281) 764-1883

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
I20161015000172 TX Practitioner - Clinical Social Worker 6901194448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56990TXMDPharmacist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1174982607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E T C JESTER BLVD",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081365",
            "telephone_number": "281-764-1883",
            "fax_number": "281-601-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E T C JESTER BLVD",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081365",
            "telephone_number": "281-764-1883",
            "fax_number": "281-601-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFF",
        "first_name": "OSSENIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.