Active NPI
Kittie Vanston, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1366471583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05601
- Practice address
- 4314 Yoakum Blvd
Houston, TX 77006-5818 - Phone
- (713) 850-0049
- Fax
- (713) 850-0036
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 05601 | TX | Primary |
Addresses
Primary practice location
4314 Yoakum Blvd
Houston, TX 77006-5818
Mailing address
4515 Yoakum Blvd
Houston, TX 77006-5821
Phone (713) 850-0049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87651Q | Other | TX | BCBS TX |
| P00753271 | Other | TX | RR MCR |
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 |
|---|---|---|---|
| 05601 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1366471583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065821",
"telephone_number": "713-850-0049",
"fax_number": "713-627-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065818",
"telephone_number": "713-850-0049",
"fax_number": "713-850-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSTON",
"first_name": "KITTIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "05601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "87651Q",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00753271",
"state": "TX"
}
],
"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 Sep 17, 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.