Individual provider Active NPI

Sarah Drummond Mack, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1205295508
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59425 Issued in TX
Practice address
2003 WW Thorne Blvd
#TM-01
Houston, TX 77073-3301
Phone
(832) 658-5220
Fax
(281) 821-6863
NPI assigned
Feb 15, 2016
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 59425 TX Primary

Addresses

Primary practice location

2003 WW Thorne Blvd
#TM-01
Houston, TX 77073-3301

Mailing address

21432 Quail Point LN
Porter, TX 77365-5180
Phone (832) 658-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59425TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Community Benefit Corporation Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1205295508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21432 QUAIL POINT LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655180",
            "telephone_number": "832-658-5220",
            "fax_number": "281-821-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 WW THORNE BLVD",
            "address_2": "#TM-01",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770733301",
            "telephone_number": "832-658-5220",
            "fax_number": "281-821-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "SARAH",
        "middle_name": "DRUMMOND",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59425",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.