Active NPI
Mary Tesney Trebilcock
- Clinical Social Worker
- Spring, TX
National Provider Identifier
1295559474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65622
- Practice address
- 2929 FM 2920 Rd
Spring, TX 77388-3428 - Phone
- (281) 210-1500
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 65622 | TX | Primary |
Addresses
Primary practice location
2929 FM 2920 Rd
Spring, TX 77388-3428
Mailing address
2929 FM 2920 Rd
Spring, TX 77388-3428
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tesney.trebilcock@arrow.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65622 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1295559474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 FM 2920 RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773883428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 FM 2920 RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773883428",
"telephone_number": "281-210-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREBILCOCK",
"first_name": "MARY",
"middle_name": "TESNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "65622",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tesney.trebilcock@arrow.org",
"affiliation": "N",
"address_1": "2929 Fm 2920 Rd",
"city": "Spring",
"state": "TX",
"country_code": "US",
"postal_code": "773883428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.