NPIMap

Organization Active NPI

Family Resource Center

  • Clinical Social Worker
  • Lake Jackson, TX
National Provider Identifier
1285866798
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19546 Issued in TX
Legal business name
FAMILY RESOURCE CENTER
Practice address
115 N Dixie Dr Ste 250
Lake Jackson, TX 77566-5906
Phone
(979) 285-3533
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Mrs. Beverly Bernzen, LMSW
Title
Owner
Phone
(979) 285-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 19546 TX Primary

Addresses

Primary practice location

115 N Dixie Dr Ste 250
Lake Jackson, TX 77566-5906

Mailing address

115 N Dixie Dr Ste 250
Lake Jackson, TX 77566-5906
Phone (979) 285-3533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1285866798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N DIXIE DR STE 250",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665906",
            "telephone_number": "979-285-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N DIXIE DR STE 250",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665906",
            "telephone_number": "979-285-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "BERNZEN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-285-3533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.