Individual provider Active NPI

Maleeta Ayresce Watson

  • Clinical Social Worker
  • Missouri City, TX
National Provider Identifier
1396441739
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6611 Krause Dr
Missouri City, TX 77489-3506
Phone
(281) 682-6591
NPI assigned
Feb 7, 2023
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 Primary

Addresses

Primary practice location

6611 Krause Dr
Missouri City, TX 77489-3506

Mailing address

6611 Krause Dr
Missouri City, TX 77489-3506
Phone (281) 682-6591

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
I20230703003165 TX Practitioner - Clinical Social Worker 0749649184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumen Health, PLLCGroup PAC ID 6002328804, 5 clinicians

Practice addresses (Care Compare)

9301 Southwest Fwy
Suite 250a
Houston, TX 77074-1510
Phone (615) 968-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31163TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trumen Health, PLLC CurrentSince Jun 2, 2025 Accepting new patients
Psy Matters, LLC Mental Health PastSince Jun 2, 2025 Accepting new patients

Locations

9301 Southwest Fwy
Ste 250A
Houston, TX 77074
Phone (346) 339-2605

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1396441739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 KRAUSE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893506",
            "telephone_number": "281-682-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 KRAUSE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893506",
            "telephone_number": "281-682-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MALEETA",
        "middle_name": "AYRESCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.