Individual provider Active NPI

Abbey Catherine Shultz, LCSW

  • Clinical Social Worker
  • Friendswood, TX
National Provider Identifier
1205511623
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67837 Issued in TX
Practice address
308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989
Phone
(281) 993-3733
Fax
(281) 648-2200
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 67837 TX Primary

Addresses

Primary practice location

308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989

Mailing address

308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989
Phone (281) 993-3733

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
I20230719001374 TX Practitioner - Clinical Social Worker 6507226743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

308 S Friendswood Dr
Suite 200
Friendswood, TX 77546-3989
Phone (844) 824-8775

4242 Medical Dr
Suite 6300
San Antonio, TX 78229-5372
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67837TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Jul 14, 2023 Accepting new patients

Locations

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

308 S Friendswood Dr
Ste 110
Friendswood, TX 77546
Phone (281) 317-0094

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1205511623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 110",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "281-993-3733",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 110",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "281-993-3733",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "ABBEY",
        "middle_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.