Individual provider Active NPI

Whitcomb Wakefield-Terpening, LCSW-S

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1538648530
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58937 Issued in TX
Practice address
12340 Jones Rd Ste 290
Houston, TX 77070-3129
Phone
(281) 894-7222
NPI assigned
Aug 9, 2018
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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 58937 TX Primary

Addresses

Primary practice location

12340 Jones Rd Ste 290
Houston, TX 77070-3129

Mailing address

PO Box 11705
Spring, TX 77391-1705
Phone (281) 475-6760

Other practice location 1

13810 Champion Forest Dr Ste 150
Houston, TX 77069-1883
Phone (281) 475-6760

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

State licenses

LicenseStateTypeSpecialty
58937TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brick and Lantern PLLC Clinical Current Accepting new patients

Organizations & group practices 1

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1538648530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11705",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773911705",
            "telephone_number": "281-475-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 JONES RD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703129",
            "telephone_number": "281-894-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13810 Champion Forest Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770691883",
            "country_code": "US",
            "telephone_number": "281-475-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKEFIELD-TERPENING",
        "first_name": "WHITCOMB",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58937",
            "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 May 26, 2022; 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.