Individual provider Active NPI

Duken Marvelly, LCSW-S, LCDC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1245633908
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56903 Issued in TX
Practice address
4606 FM 1960 Rd W Ste 412
Houston, TX 77069-1369
Phone
(832) 774-1444
NPI assigned
Oct 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12891 TX
Clinical Social Worker 1041C0700X 56903 TX Primary
Clinical Social Worker 1041C0700X 17623 LA
Social Worker 104100000X 56903 TX

Addresses

Primary practice location

4606 FM 1960 Rd W Ste 412
Houston, TX 77069-1369

Mailing address

4606 FM 1960 Rd W Ste 412
Houston, TX 77069-1369
Phone (832) 774-1444

Other identifiers 1

IdentifierTypeStateIssuer
141987279MedicaidTX

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
I20161006000346 TX Practitioner - Clinical Social Worker 6608164678 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4606 FM 1960 Rd W
Suite 412
Houston, TX 77069-1369
Phone (832) 774-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56903TXMDSocial Worker
17623LAMDClinical Social Worker
12891TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1245633908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 412",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691369",
            "telephone_number": "832-774-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 412",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691369",
            "telephone_number": "832-774-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVELLY",
        "first_name": "DUKEN",
        "credential": "LCSW-S, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12891",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56903",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "17623",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141987279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.