Individual provider Active NPI

Cynthia Traylor, LCSW, CCM

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1194558056
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63957 Issued in TX
Practice address
4855 Magnolia Cove Dr Apt 165
Kingwood, TX 77345-2288
Phone
(281) 922-8837
NPI assigned
Aug 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 63957 TX Primary

Addresses

Primary practice location

4855 Magnolia Cove Dr Apt 165
Kingwood, TX 77345-2288

Mailing address

4855 Magnolia Cove Dr Apt 165
Kingwood, TX 77345-2288
Phone (281) 922-8837

Other names 1

  • Cynthia Traylor Professional name

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
I20260319000041 TX Practitioner - Clinical Social Worker 1557886264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16755 W Lake Houston Pkwy
Apt 212
Houston, TX 77044-6366

2939 Laurel Mist CT
Kingwood, TX 77345-4943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63957TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Choice Transitions LLC CurrentSince Feb 3, 2026 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1194558056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 MAGNOLIA COVE DR APT 165",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452288",
            "telephone_number": "281-922-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 MAGNOLIA COVE DR APT 165",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452288",
            "telephone_number": "281-922-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "CYNTHIA",
        "credential": "LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "TRAYLOR",
            "credential": "LCSW, CCM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.