Individual provider Active NPI

Elissa S Varadi, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1477757144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10323 Issued in TX
Practice address
5858 Westheimer Rd Ste 706
Houston, TX 77057-5647
Phone
(713) 780-1478
Fax
(713) 789-7232
NPI assigned
Jun 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10323 TX Primary

Addresses

Primary practice location

5858 Westheimer Rd Ste 706
Houston, TX 77057-5647

Mailing address

5858 Westheimer Rd Ste 706
Houston, TX 77057-5647
Phone (713) 780-1478

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

State licenses

LicenseStateTypeSpecialty
10323TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477757144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 WESTHEIMER RD STE 706",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575647",
            "telephone_number": "713-780-1478",
            "fax_number": "713-789-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 WESTHEIMER RD STE 706",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575647",
            "telephone_number": "713-780-1478",
            "fax_number": "713-789-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARADI",
        "first_name": "ELISSA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.