Individual provider Active NPI

Brenda Leslie Cazares Cerecero, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1295457133
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63050 Issued in TX
Practice address
6410 Fannin St. Suite 170
Houston, TX 77030-3003
Phone
(713) 486-6968
Fax
(713) 512-2236
NPI assigned
Sep 16, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 63050 TX Primary

Addresses

Primary practice location

6410 Fannin St. Suite 170
Houston, TX 77030-3003

Mailing address

6410 Fannin St. Suite 170
Houston, TX 77030-3228
Phone (713) 486-6968

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
I20221114000230 TX Practitioner - Clinical Social Worker 1951778497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Suite 170
Houston, TX 77030-3003
Phone (832) 325-6500

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63050TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 11, 2022 Accepting new patients
Ut Physicians CurrentSince Aug 11, 2022 Accepting new patients

Locations

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (713) 704-6500

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1295457133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST. SUITE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303228",
            "telephone_number": "713-486-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST. SUITE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303003",
            "telephone_number": "713-486-6968",
            "fax_number": "713-512-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZARES CERECERO",
        "first_name": "BRENDA",
        "middle_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.