Active NPI
Jeannette Marie Kolarik, LCSW-S
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1396466793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 50222
- Practice address
- 6410 Fannin St
Houston, TX 77030-3000 - Phone
- (713) 500-7840
- Fax
- (713) 486-0860
- NPI assigned
- Sep 6, 2022
- 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 | 50222 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St
Houston, TX 77030-3000
Mailing address
6410 Fannin St
Houston, TX 77030-3000
Phone (713) 500-7840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeannette.kolarik@uth.tmc.edu | Direct |
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 |
|---|---|---|---|
| 50222 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1396466793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-500-7840",
"fax_number": "713-486-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-500-7840",
"fax_number": "713-486-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLARIK",
"first_name": "JEANNETTE",
"middle_name": "MARIE",
"credential": "LCSW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "50222",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeannette.kolarik@uth.tmc.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6410 Fannin St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770303000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
- Hooman Kolahi Jahromi, MD
- Kolaiah's House
- Misozi K Kolala
- Michael Haig Kolandjian, PHARMD, MS
- Sandra O Kolapo, ARNP, FPMHNP-BC
- Kolawole Ladipo & Deloise Wilson-Ladipo (Deekal Healthcare Services)
- Omolara Dasola Kolawole, MD
- Tolulope Olajumoke Kolawole, RN MSN PMHNP-BC
- Georgina Kolcun, MD
- Evelin Lidiet Kolenc, MSN, APRN-FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.