Individual provider Active NPI

Telecia Kaye Rittiman, LCSW-S

  • Clinical Social Worker
  • Sugar Land, TX
National Provider Identifier
1194964486
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31445 Issued in TX
Practice address
1235 Lake Pointe Pkwy Ste 104
Sugar Land, TX 77478-4077
Phone
(844) 824-8775
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 31445 TX Primary

Addresses

Primary practice location

1235 Lake Pointe Pkwy Ste 104
Sugar Land, TX 77478-4077

Mailing address

1235 Lake Pointe Pkwy Ste 104
Sugar Land, TX 77478-4077
Phone (844) 824-8775

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
I20100426000193 TX Practitioner - Clinical Social Worker 0648307546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

1235 Lake Pointe Pkwy
Suite 104
Sugar Land, TX 77478-4077
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31445TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Nov 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 11, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

1235 Lake Pointe Pkwy
Ste 104
Sugar Land, TX 77478
Phone (832) 862-3004

Organizations & group practices 3

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1194964486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE POINTE PKWY STE 104",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784077",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE POINTE PKWY STE 104",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784077",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTIMAN",
        "first_name": "TELECIA",
        "middle_name": "KAYE",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.