Individual provider Active NPI

Christine Reed, L.C.S.W.

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1508964909
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00873 Issued in TX
Practice address
9660 Hillcroft Street
Suite 120 C
Houston, TX 77096-3876
Phone
(713) 790-0343
Fax
(713) 686-1837
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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 00873 TX Primary

Addresses

Primary practice location

9660 Hillcroft Street
Suite 120 C
Houston, TX 77096-3876

Mailing address

9660 Hillcroft St.-
Suite 120C
Houston, TX 77096-3876
Phone (713) 790-0343

Other identifiers 5

IdentifierTypeStateIssuer
35004300OtherTXMAGELLAN PROVIDER #
7850057OtherTXAETNA PROVIDER PIN
00S66GOtherTXBLUE CROSS BLUE SHIELD TX
125006OtherTXMANAGED HEALTH NETWORK #
361291OtherTXVALUE OPTIONS PROVIDER #

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
00873TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1508964909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 HILLCROFT ST.-",
            "address_2": "SUITE 120C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963876",
            "telephone_number": "713-790-0343",
            "fax_number": "713-686-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 HILLCROFT STREET",
            "address_2": "SUITE 120 C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963876",
            "telephone_number": "713-790-0343",
            "fax_number": "713-686-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "00873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER #",
            "identifier": "35004300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER PIN",
            "identifier": "7850057",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "00S66G",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK #",
            "identifier": "125006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "361291",
            "state": "TX"
        }
    ],
    "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 Oct 26, 2012; 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.