Individual provider Active NPI

Jeanie Susan Sigrid Low, LCSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1417198623
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
52298 Issued in TX
Practice address
5900 Memorial Dr Ste 218
Houston, TX 77007-8008
Phone
(281) 946-9567
Fax
(281) 496-2108
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 52298 TX Primary

Addresses

Primary practice location

5900 Memorial Dr Ste 218
Houston, TX 77007-8008

Mailing address

5900 Memorial Dr
Ste 218
Houston, TX 77007-8008
Phone (281) 946-9567

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
I20120801000336 TX Practitioner - Clinical Social Worker 5193981470 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

Practice addresses (Care Compare)

25301 Borough Park Dr
Suite 201
Spring, TX 77380-3568
Phone (281) 946-9567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Counseling Options of Houston PLLC CurrentSince Aug 17, 2015 Accepting new patients

Locations

5900 Memorial Dr
Ste 218
Houston, TX 77007
Phone (281) 946-9567

25301 Borough Park Dr
Ste 201
The Woodlands, TX 77380
Phone (281) 946-9567

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, 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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1417198623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR",
            "address_2": "STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078008",
            "telephone_number": "281-946-9567",
            "fax_number": "281-496-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MEMORIAL DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078008",
            "telephone_number": "281-946-9567",
            "fax_number": "281-496-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "JEANIE",
        "middle_name": "SUSAN SIGRID",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "52298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.