Active NPI
Raymond Houston Jr., MSW, LMSW
- Clinical Social Worker
- Carthage, MO
National Provider Identifier
1265908511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2411 Fairlawn Drive
Carthage, MO 64836-9999 - Phone
- (417) 388-9872
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2411 Fairlawn Drive
Carthage, MO 64836-9999
Mailing address
2411 Fairlawn Drive
Carthage, MO 64836-9999
Phone (417) 388-9872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2018.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1265908511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FAIRLAWN DRIVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648369999",
"telephone_number": "417-388-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FAIRLAWN DRIVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648369999",
"telephone_number": "417-388-9872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "RAYMOND",
"name_suffix": "Jr.",
"credential": "MSW, LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.