Individual provider Active NPI

George M Kakkanatt, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1336248913
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S29416 Issued in TX
Practice address
1214 N Post Oak Rd Ste 100
Houston, TX 77055-7236
Phone
(713) 686-9194
Fax
(713) 686-9413
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 S29416 TX Primary

Addresses

Primary practice location

1214 N Post Oak Rd Ste 100
Houston, TX 77055-7236

Mailing address

14014 Cobalt Glen Dr
Sugar Land, TX 77478-2092
Phone (281) 723-8520

Other practice location 1

14014 Cobalt Glen Dr
Sugar Land, TX 77478-2092
Phone (281) 723-8520

Other practice location 2

4131 Spicewood Springs Rd Ste J1
Austin, TX 78759-8600
Phone (713) 686-9194

Other practice location 3

2012 NW Military Hwy Ste 100
San Antonio, TX 78213-2130
Phone (713) 686-9194

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
I20040610001639 TX Practitioner - Clinical Social Worker 7810970787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S29416TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deblin Health Concepts & Associates, LLC Clinical CurrentSince Feb 14, 2007 Accepting new patients
Brazos Valley Healthcare, LLC PastSince Apr 28, 2006 Accepting new patients
Georgian Health Concepts Inc Clinical Past Accepting new patients

Locations

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

4131 Spicewood Springs Rd
Ste J1
Austin, TX 78759
Phone 7136869194 ext. 69194

4131 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 342-8689

1214 N Post Oak Rd
Ste 100
Houston, TX 77055
Phone (713) 681-9100

2012 NW Military Hwy
Ste 100
San Antonio, TX 78213

Organizations & group practices 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1336248913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 COBALT GLEN DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782092",
            "telephone_number": "281-723-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N POST OAK RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557236",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14014 Cobalt Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774782092",
            "country_code": "US",
            "telephone_number": "281-723-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Spicewood Springs Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2012 NW Military Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132130",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKKANATT",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S29416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.