Individual provider Active NPI

Kissanet Taffere, LCSW

  • Social Worker
  • Sugar Land, TX
National Provider Identifier
1376019067
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5826 New Territory Blvd # 912
Sugar Land, TX 77479-5948
Phone
(713) 561-5064
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CA Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

5826 New Territory Blvd # 912
Sugar Land, TX 77479-5948

Mailing address

5826 New Territory Blvd # 912
Sugar Land, TX 77479-5948
Phone (713) 561-5064

Other practice location 1

582 Market St Ste 1203
San Francisco, CA 94104-5313
Phone (415) 343-5890

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Now SF CurrentSince Feb 1, 2024 Accepting new patients

Locations

582 Market St
Ste 1203
San Francisco, CA 94104
Phone (415) 343-5890

Organizations & group practices 1

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1376019067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 NEW TERRITORY BLVD # 912",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795948",
            "telephone_number": "713-561-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 NEW TERRITORY BLVD # 912",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795948",
            "telephone_number": "713-561-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 Market St Ste 1203",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941045313",
            "country_code": "US",
            "telephone_number": "415-343-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFFERE",
        "first_name": "KISSANET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.