Individual provider Active NPI

Rebecca Rosalez, LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1356892038
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57211 Issued in TX
Practice address
800 Rockmead Dr Ste 113
Kingwood, TX 77339-5019
Phone
(281) 940-5820
Fax
(833) 379-4398
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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 57211 TX Primary

Addresses

Primary practice location

800 Rockmead Dr Ste 113
Kingwood, TX 77339-5019

Mailing address

17121 Edge Branch LN
Houston, TX 77044-1481
Phone (281) 881-7501

Other names 1

  • Rebecca Stiemens Former name

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
I20170228000450 TX Practitioner - Clinical Social Worker 5991089526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundance Counseling ServicesGroup PAC ID 6608118096, 2 clinicians

Practice addresses (Care Compare)

1225 N Loop W
Houston, TX 77008-1763
Phone (281) 940-5820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57211TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Abundance Counseling Services Clinical CurrentSince Mar 1, 2017 Accepting new patients
Kingwood Counseling Center Clinical Past Accepting new patients
Sydney Adams Dba Kingwood Counseling Center Clinical Past Accepting new patients

Locations

1225 North Loop W
Ste 935
Houston, TX 77008
Phone (281) 903-5897

18700 W Lake Houston Pkwy
Ste A102
Humble, TX 77346
Phone (281) 940-5820

800 Rockmead Dr
Ste 113
Kingwood, TX 77339
Phone (281) 940-5820

Interoperability endpoints

  • Direct secure messaging: rebeccarosalez@tdh.allscriptsdirect.net

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1356892038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 EDGE BRANCH LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770441481",
            "telephone_number": "281-881-7501",
            "fax_number": "713-610-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR STE 113",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395019",
            "telephone_number": "281-940-5820",
            "fax_number": "833-379-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALEZ",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STIEMENS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.