Active NPI
Jamie Bass Trahan
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1306645098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59389
- Practice address
- 4207 Purdue St
Houston, TX 77005-1041 - Phone
- (713) 816-0238
- NPI assigned
- Mar 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59389 | TX | Primary |
Addresses
Primary practice location
4207 Purdue St
Houston, TX 77005-1041
Mailing address
4207 Purdue St
Houston, TX 77005-1041
Phone (713) 816-0238
Other names 1
- Ms. Jamie Bass Trahan
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 |
|---|---|---|---|
| 59389 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1306645098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 PURDUE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051041",
"telephone_number": "713-816-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 PURDUE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051041",
"telephone_number": "713-816-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHAN",
"first_name": "JAMIE",
"middle_name": "BASS",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "TRAHAN",
"middle_name": "BASS",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.