Active NPI
Stanley Ivon Tubbs Jr., LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1205015294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08537
- Practice address
- 401 Branard St FL 2
Houston, TX 77006-5015 - Phone
- (713) 529-0037
- Fax
- (713) 529-0498
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08537 | TX | Primary |
Addresses
Primary practice location
401 Branard St FL 2
Houston, TX 77006-5015
Mailing address
401 Branard St FL 2
Houston, TX 77006-5015
Phone (713) 529-0037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142892202 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2222 Cleburne St
Houston, TX 77004-5177
Phone (713) 497-5549
401 Branard St
FL 2
Houston, TX 77006-5015
Phone (713) 529-0037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08537 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Montrose Center | Clinical | Current | Accepting new patients |
| Boys and Girls Country of Houston, Inc. | Past | Accepting new patients | |
| Pawhuska Nursing Home, LLC | Past | Accepting new patients | |
| Montrose Counseling Center, Inc. | Past | Accepting new patients |
Locations
2222 Cleburne St
Houston, TX 77004
Phone (713) 497-5549
401 Branard St
Fl 2
Houston, TX 77006
Phone (713) 529-0037
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Houston, TX
- NPI 1164571865
-
- Professional Counselor
- Hockley, TX
- NPI 1609014992
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Houston, TX
- NPI 1255652855
-
- Nursing Facility/Intermediate Care Facility
- Sallisaw, OK
- NPI 1134220213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1205015294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BRANARD ST FL 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065015",
"telephone_number": "713-529-0037",
"fax_number": "713-529-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BRANARD ST FL 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065015",
"telephone_number": "713-529-0037",
"fax_number": "713-529-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "STANLEY",
"middle_name": "IVON",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "08537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142892202",
"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 May 3, 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.
- 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.