Individual provider Active NPI

Amanda R Vasquez, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1598945396
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33784 Issued in TX
Practice address
4314 Yoakum Blvd
Houston, TX 77006-5818
Phone
(713) 850-0049
Fax
(713) 627-7302
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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 33784 TX Primary

Addresses

Primary practice location

4314 Yoakum Blvd
Houston, TX 77006-5818

Mailing address

4314 Yoakum Blvd
Houston, TX 77006-5818
Phone (713) 850-0049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000264 TX Practitioner - Clinical Social Worker 8527142637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bat City Mental Health, PLLCGroup PAC ID 2264803915, 2 clinicians

Practice addresses (Care Compare)

701 FM
685 Suite 450
Pflugerville, TX 78660-7095
Phone (737) 252-3570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33784TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bat City Mental Health, PLLC Clinical CurrentSince Sep 5, 2023 Accepting new patients
Senior Psychological Care Sa I, LLC Clinical CurrentSince Nov 3, 2011 Accepting new patients
Primary Medicine Center LLC Clinical Past Accepting new patients

Locations

11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844

4314 Yoakum Blvd
Houston, TX 77006
Phone 7138500049207

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

107 N Medina St
Lockhart, TX 78644
Phone (512) 398-5213

1501 S Main St
Lockhart, TX 78644
Phone (512) 393-9392

701 FM 685
Ste 450
Pflugerville, TX 78660
Phone (512) 379-7728

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1598945396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065818",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065818",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "AMANDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.