Individual provider Active NPI

Evette Esperanza Muro

  • Clinical Social Worker
  • Pasadena, TX
National Provider Identifier
1457118994
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103469 Issued in TX
Practice address
6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511
Phone
(281) 769-2238
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 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 103469 TX Primary

Addresses

Primary practice location

6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511

Mailing address

10219 Silvercrest St
Houston, TX 77076-4422
Phone (832) 441-1642

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
I20240411001100 TX Practitioner - Clinical Social Worker 7911345806 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103469TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jun 12, 2024 Accepting new patients
Clearhope Counseling and Wellness Center, PC Clinical CurrentSince Mar 19, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jun 12, 2024 Accepting new patients

Locations

3430 Center St
Deer Park, TX 77536
Phone (832) 266-7303

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

6021 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 769-2238

Organizations & group practices 3

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1457118994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 SILVERCREST ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764422",
            "telephone_number": "832-441-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 FAIRMONT PKWY STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054511",
            "telephone_number": "281-769-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURO",
        "first_name": "EVETTE",
        "middle_name": "ESPERANZA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.