Active NPI
Rosemary Kress Avila, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1306236385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58573
- Practice address
- 3007 Caroline St
Houston, TX 77004-2822 - Phone
- (713) 528-2328
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 221619-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 58573 | TX | Primary |
Addresses
Primary practice location
3007 Caroline St
Houston, TX 77004-2822
Mailing address
1362 E Michigan Ave
SLC, UT 84105-1607
Phone (801) 712-3369
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58573 | TX | MD | Clinical Social Worker |
| 221619-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1306236385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1362 E MICHIGAN AVE",
"city": "SLC",
"state": "UT",
"postal_code": "841051607",
"telephone_number": "801-712-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 CAROLINE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770042822",
"telephone_number": "713-528-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "ROSEMARY",
"middle_name": "KRESS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "221619-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.