Active NPI
Andrea Farb, LCSW
- Clinical Social Worker
- Sugar Land, TX
National Provider Identifier
1376274720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 40061
- Practice address
- 77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688 - Phone
- (281) 872-6455
- NPI assigned
- Jun 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 40061 | TX | Primary |
Addresses
Primary practice location
77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688
Mailing address
77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688
Phone (281) 872-6455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122002165 | TX | Practitioner - Clinical Social Worker | 5092167460 | Practice locations: Sugar Land, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40061 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1376274720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783688",
"telephone_number": "281-872-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783688",
"telephone_number": "281-872-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARB",
"first_name": "ANDREA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-17",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "40061",
"primary": true
}
],
"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 Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.