Nataly Estefany Pereira, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66176 Issued in TX

Practice address

18628 Swainboro Dr
New Caney, TX 77357-2512

Phone

(281) 979-2083

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1194453894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18628 SWAINBORO DR",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773572512",
            "telephone_number": "281-979-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18628 SWAINBORO DR",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773572512",
            "telephone_number": "281-979-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "NATALY",
        "middle_name": "ESTEFANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge Austan Nwandji Dimo
• Oculus Valley Ranch Town Center, LLC
• Karen Edith Olivares, DDS
• Taylor Ouimet, DPT
• Kevin Parish Jr.
• Kimm Marie Perez, PHD, LPA, LPC- S
• Monica Petty, HHA
• Salena Pho, O.D.
• Jennifer Rochele Piper, MS, LCDC
• Megan Michelle Porter, FNP-C

• Clinical Social Worker in New Caney, TX
• Providers in New Caney, 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 Aug 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.