Individual provider Active NPI

James (Jim) E Trenchard, LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1629098405
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30499 Issued in TX
Practice address
1120 Kingwood Dr
Suite 400
Kingwood, TX 77339-3043
Phone
(281) 540-1470
Fax
(281) 540-2166
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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 30499 TX Primary

Addresses

Primary practice location

1120 Kingwood Dr
Suite 400
Kingwood, TX 77339-3043

Mailing address

2313 Timber Shadows Dr
Suite103
Kingwood, TX 77339-2270
Phone (281) 540-1470

Other identifiers 1

IdentifierTypeStateIssuer
102764101MedicaidTX

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
I20040628000501 TX Practitioner - Clinical Social Worker 2961488267 Practice locations: Houston, TX; Kingwood, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1414 Stonehollow Dr
Suite 3
Kingwood, TX 77339-2664
Phone (713) 449-4806

2990 Richmond Ave
Suite 209
Houston, TX 77098-3109
Phone (713) 449-4806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1629098405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 TIMBER SHADOWS DR",
            "address_2": "SUITE103",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392270",
            "telephone_number": "281-540-1470",
            "fax_number": "281-540-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 KINGWOOD DR",
            "address_2": "SUITE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393043",
            "telephone_number": "281-540-1470",
            "fax_number": "281-540-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENCHARD",
        "first_name": "JAMES (JIM)",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102764101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.