Individual provider Active NPI

Erica Laine Bruce, LCSW-S

  • Clinical Social Worker
  • Missouri City, TX
National Provider Identifier
1306058771
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33089 Issued in TX
Practice address
5777 Sienna Pkwy Ste 350
Missouri City, TX 77459-7403
Phone
(281) 778-8715
Fax
(281) 778-8734
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 33089 TX Primary

Addresses

Primary practice location

5777 Sienna Pkwy Ste 350
Missouri City, TX 77459-7403

Mailing address

10818 Cobblecreek Way
Missouri City, TX 77459-6839
Phone (832) 462-4260

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
I20120111000559 TX Practitioner - Clinical Social Worker 5092982223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solace Center Sienna PLLCGroup PAC ID 5890035950, 2 clinicians

Practice addresses (Care Compare)

5777 Sienna Pkwy
Suite 350
Missouri City, TX 77459-7403
Phone (281) 778-8715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33089TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Center Sienna PLLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

5777 Sienna Pkwy
Ste 350
Missouri City, TX 77459
Phone (281) 778-8715

Organizations & group practices 1

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1306058771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 COBBLECREEK WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596839",
            "telephone_number": "832-462-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 SIENNA PKWY STE 350",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597403",
            "telephone_number": "281-778-8715",
            "fax_number": "281-778-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ERICA",
        "middle_name": "LAINE",
        "name_prefix": "Miss",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.