Mirakel Grace Mayoral-Goodwin, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

109069 Issued in TX

Practice address

5959 West Loop S Ste 430
Bellaire, TX 77401-2403

Phone

(713) 660-0776

NPI assigned

Aug 22, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1609650480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 BRAEWICK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965819",
            "telephone_number": "978-902-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 WEST LOOP S STE 430",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012403",
            "telephone_number": "713-660-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORAL-GOODWIN",
        "first_name": "MIRAKEL",
        "middle_name": "GRACE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "109069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Matus, PT, DPT
• Maureli Inc
• Abigail Lee Maxa, D.C.
• Elizabeth May, OD
• Mark L Mayo, MD
• Ruth Mburu
• Arthur W McClure, R.PH.
• Kaylee McDonald, OD
• Mary Ann McFall, RN,FNP-C
• Ariel McFarland

• Social Worker in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.