Individual provider Active NPI

Mary Ann Wolinsky, MSSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1184741381
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01201 Issued in TX
Practice address
6230 Yarwell Dr
Houston, TX 77096-4628
Phone
(713) 772-8235
Fax
(713) 995-1917
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14188 CA
Clinical Social Worker 1041C0700X 01201 TX Primary

Addresses

Primary practice location

6230 Yarwell Dr
Houston, TX 77096-4628

Mailing address

6230 Yarwell Dr
Houston, TX 77096-4628
Phone (713) 772-8235

Other identifiers 1

IdentifierTypeStateIssuer
SW00S31J4MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14188CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1184741381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 YARWELL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964628",
            "telephone_number": "713-772-8235",
            "fax_number": "713-995-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 YARWELL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964628",
            "telephone_number": "713-772-8235",
            "fax_number": "713-995-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLINSKY",
        "first_name": "MARY ANN",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14188",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "01201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW00S31J4",
            "state": "TX"
        }
    ],
    "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 Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.