Individual provider Active NPI

Rebecca Schneider

  • Clinical Social Worker
  • Pasadena, TX
National Provider Identifier
1609650902
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105078 Issued in TX
Practice address
6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511
Phone
(281) 769-2238
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 105078 TX Primary

Addresses

Primary practice location

6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511

Mailing address

6201 Lago Mar Blvd Apt 8111
Texas City, TX 77510-1903
Phone (713) 447-4181

Other practice location 1

6201 Lago Mar Blvd Apt 8111
Texas City, TX 77510-1903
Phone (713) 447-4181

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
I20231115000651 TX Practitioner - Clinical Social Worker 2163879057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105078TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearhope Counseling and Wellness Center, PC Clinical CurrentSince Oct 9, 2023 Accepting new patients

Locations

6021 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 769-2238

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1609650902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 LAGO MAR BLVD APT 8111",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775101903",
            "telephone_number": "713-447-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 FAIRMONT PKWY STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054511",
            "telephone_number": "281-769-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Lago Mar Blvd Apt 8111",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775101903",
            "country_code": "US",
            "telephone_number": "713-447-4181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.