Active NPI
Shanita Barnes
- Clinical Social Worker
- Katy, TX
National Provider Identifier
1225985260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65625
- Practice address
- 602 W Grand Pkwy S
Katy, TX 77494-8328 - Phone
- (855) 417-2486
- Fax
- (401) 216-3845
- NPI assigned
- Mar 10, 2026
- Last updated
- Sep 16, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 65625 | TX | Primary |
| Clinical Social Worker | 1041C0700X | SWB-2023-1069 | NM | |
| Clinical Social Worker | 1041C0700X | 0904018321 | VA | |
| Clinical Social Worker | 1041C0700X | CSW.09931794 | CO |
Addresses
Primary practice location
602 W Grand Pkwy S
Katy, TX 77494-8328
Mailing address
602 W Grand Pkwy S
Katy, TX 77494-8328
Phone (855) 417-2486
Other practice location 1
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (346) 999-2926
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65625 | TX | MD | Professional Counselor |
| CSW.09931794 | CO | MD | Clinical Social Worker |
| SWB-2023-1069 | NM | MD | Clinical Social Worker |
| 0904018321 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1225985260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 W GRAND PKWY S",
"city": "KATY",
"state": "TX",
"postal_code": "774948328",
"telephone_number": "855-417-2486",
"fax_number": "401-216-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W GRAND PKWY S",
"city": "KATY",
"state": "TX",
"postal_code": "774948328",
"telephone_number": "855-417-2486",
"fax_number": "401-216-3845"
}
],
"practiceLocations": [
{
"address_1": "5900 Balcones Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787314298",
"country_code": "US",
"telephone_number": "346-999-2926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNES",
"first_name": "SHANITA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-03-10",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "65625",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2023-1069",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904018321",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09931794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.