Brechtje Cornelia Van de Laar, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53150 Issued in TX

Practice address

19701 Kingwood Dr
Building 3
Kingwood, TX 77339-3773

Phone

(281) 358-5701

Fax

(281) 358-7061

NPI assigned

Mar 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Athi P Venkatesh MD PAGroup PAC ID 0749213403, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Athi P Venkatesh MD PA

  • Psychiatry Physician
  • Kingwood, TX
  • NPI 1780703942
  Medicare reassignment Care Compare group NPD
• Develop Counseling & Consulting Services LLC

  • Mental Health Counselor
  • Shenandoah, TX
  • NPI 1811639362
  NPD

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1194024075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BUILDING 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701",
            "fax_number": "281-358-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BUILDING 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701",
            "fax_number": "281-358-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE LAAR",
        "first_name": "BRECHTJE",
        "middle_name": "CORNELIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usrc Kingwood LP
• Shanmugam Uthamalingam, MD
• Uvalde County Hospital Authority
• Liliana Valdez, M.ED., LPC
• Mariana Valerio-Fernandez, RN
• Sonja Van Tassell
• Emily Van, MA
• Maria Victoria Vargas Artunduaga
• Sofia Victoria Vasquez
• Dennis C Vaughn, DDS

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.

Verify at the official NPI Registry.