Individual provider Active NPI

Kirstie Anne Carmichael, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1437618113
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57260 Issued in TX
Practice address
4119 Montrose Blvd
Houston, TX 77006-4963
Phone
(512) 956-6463
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 57260 TX Primary

Addresses

Primary practice location

4119 Montrose Blvd
Houston, TX 77006-4963

Mailing address

29749 Meridian Hill Dr
Spring, TX 77386-3450
Phone (210) 430-5963

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
I20240904002469 TX Practitioner - Clinical Social Worker 2769922897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Texas Medical School at San Antonio, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

508 Deep Eddy Ave
Austin, TX 78703-4554

508 Deep Eddy Ave
Austin, TX 78703-4555

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57260TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Counseling PLLC Clinical CurrentSince Jan 1, 2024 Accepting new patients
Deep Centered Psychiatry PLLC CurrentSince Aug 20, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 30, 2024 Accepting new patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Aug 20, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1437618113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29749 MERIDIAN HILL DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863450",
            "telephone_number": "210-430-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 MONTROSE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064963",
            "telephone_number": "512-956-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "KIRSTIE",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.