Individual provider Active NPI

Jacoby Deonte Gilder

  • Social Worker
  • Sugar Land, TX
National Provider Identifier
1477326320
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2205 Williams Trace Blvd Ste 105
Sugar Land, TX 77478-4443
Phone
(832) 303-2333
NPI assigned
Nov 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 Primary

Addresses

Primary practice location

2205 Williams Trace Blvd Ste 105
Sugar Land, TX 77478-4443

Mailing address

2205 Williams Trace Blvd Ste 105
Sugar Land, TX 77478-4443
Phone (832) 303-2333

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1477326320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "832-303-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "832-303-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDER",
        "first_name": "JACOBY",
        "middle_name": "DEONTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.