Latticia Marie Buckholtz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57263 Issued in TX

Practice address

550 Greens Pkwy Ste 150
Houston, TX 77067-4532

Phone

(713) 486-5580

Fax

(713) 486-2721

NPI assigned

Sep 10, 2021

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.11 of 100Reported as group

Quality

69.15

Promoting interoperability

100

Improvement activities

40

Cost

73.63

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  Medicare reassignment Care Compare group NPD
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1265101422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GREENS PKWY STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674532",
            "telephone_number": "713-486-5580",
            "fax_number": "713-486-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 GREENS PKWY STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674532",
            "telephone_number": "713-486-5580",
            "fax_number": "713-486-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKHOLTZ",
        "first_name": "LATTICIA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latticia.buckholtz@uth.tmc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1941 East Rd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770546010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin E Buck, PH.D
• Gregory J. Buck, CRNA
• Quentin Buck
• Buckeye Anesthesia Services PLLC
• Jenika Buckhalter, LMSW
• Bucking Horse Emergency Physicians, PLLC
• Buckingham Senior Living Community Inc
• Keiera Buckles, LCSW
• Calvin Eugene Buckley, PH.D., LPC
• Emily Buckley, LCSW

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.

Verify at the official NPI Registry.