Individual provider Active NPI

Mary Quandt, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1386369742
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64763 Issued in TX
Practice address
1513 Wycliffe Dr # B
Houston, TX 77043-4805
Phone
(512) 988-2557
NPI assigned
Oct 7, 2022
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 64763 TX Primary

Addresses

Primary practice location

1513 Wycliffe Dr # B
Houston, TX 77043-4805

Mailing address

1513 Wycliffe Dr # B
Houston, TX 77043-4805
Phone (512) 988-2557

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@goldenhourtherapies.com Direct

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
I20231214000588 TX Practitioner - Clinical Social Worker 6204285349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1513 Wycliffe Dr
B
Houston, TX 77043-4805
Phone (281) 925-7140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Dec 1, 2023 Accepting new patients
Golden Hour Therapies PLLC Clinical CurrentSince Oct 25, 2023 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: mary.quandt.1@30520.direct.athenahealth.com

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1386369742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 WYCLIFFE DR # B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434805",
            "telephone_number": "512-988-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 WYCLIFFE DR # B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434805",
            "telephone_number": "512-988-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANDT",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@goldenhourtherapies.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1513 Wycliffe Dr # B",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770434805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.