Individual provider Active NPI

Connie Fredrick, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1366106791
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65297 Issued in TX
Practice address
13201 Northwest Fwy Ste 500
Houston, TX 77040-6025
Phone
(832) 510-6536
NPI assigned
Oct 22, 2021
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 65297 TX Primary

Addresses

Primary practice location

13201 Northwest Fwy Ste 500
Houston, TX 77040-6025

Mailing address

16015 Cairnway Dr
Box 840913
Houston, TX 77084-3561
Phone (832) 510-6536

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
I20220707002759 TX Practitioner - Clinical Social Worker 4688054620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reinforcing Houston Clinical CurrentSince Sep 1, 2015 Accepting new patients
Bee Busy Wellness Center Past Accepting new patients

Locations

16015 Cairnway Dr
#840913
Houston, TX 77084
Phone (346) 800-7728

5600 NW Central Dr
Ste 142
Houston, TX 77092
Phone (800) 402-6311

Interoperability endpoints

  • Direct secure messaging: cfredrick814095@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1366106791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16015 CAIRNWAY DR",
            "address_2": "BOX 840913",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843561",
            "telephone_number": "832-510-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 NORTHWEST FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406025",
            "telephone_number": "832-510-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICK",
        "first_name": "CONNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.