Individual provider Active NPI

Gwendolyn Faye Stephens, LCSW

  • Clinical Social Worker
  • Humble, TX
National Provider Identifier
1285648733
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57596 Issued in TX
Practice address
4719 Atascocita Rd
Humble, TX 77346-2854
Phone
(936) 262-7800
Fax
(281) 899-5295
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 57596 TX Primary
Clinical Social Worker 1041C0700X C6498 MS

Addresses

Primary practice location

4719 Atascocita Rd
Humble, TX 77346-2854

Mailing address

PO Box 38
Dayton, TX 77535-0001
Phone (281) 783-8182

Other identifiers 1

IdentifierTypeStateIssuer
338070102MedicaidTX

Other names 1

  • Gwen Stephens Professional name

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
I20131223001627 TX Practitioner - Clinical Social Worker 7012915192 Reassigns benefits to 1 organization
Practice locations: Cleveland, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6498MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling Center PLLC CurrentSince Jan 8, 2023 Accepting new patients
Gatto Bay, Inc Past Accepting new patients
Anne a. Henderson, Inc. Past Accepting new patients

Locations

4719 Atascocita Rd
Humble, TX 77346
Phone (281) 783-8182

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1285648733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775350001",
            "telephone_number": "281-783-8182",
            "fax_number": "281-899-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 ATASCOCITA RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462854",
            "telephone_number": "936-262-7800",
            "fax_number": "281-899-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "GWENDOLYN",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57596",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338070102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "STEPHENS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.