Individual provider Active NPI

Gloria Renee Traweek, LCSW

  • Clinical Social Worker
  • Tomball, TX
National Provider Identifier
1477882140
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32515 Issued in TX
Practice address
25435 FM 2978 Rd
Suite 108
Tomball, TX 77375-2677
Phone
(281) 813-7894
NPI assigned
Dec 9, 2009
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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 32515 TX Primary

Addresses

Primary practice location

25435 FM 2978 Rd
Suite 108
Tomball, TX 77375-2677

Mailing address

268 Argosy LN
Montgomery, TX 77316-6858
Phone (281) 813-7894

Other identifiers 1

IdentifierTypeStateIssuer
32515OtherTXLICENSE CLINICAL SOCIAL WORKER

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medicine Center LLC Clinical Past Accepting new patients
Shield-Bearer Counseling Centers Past Accepting new patients
Champion Therapy Past Accepting new patients

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, 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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1477882140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 ARGOSY LN",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166858",
            "telephone_number": "281-813-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25435 FM 2978 RD",
            "address_2": "SUITE 108",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752677",
            "telephone_number": "281-813-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWEEK",
        "first_name": "GLORIA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "32515",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.