Individual provider Active NPI

Sara Walls, LCSW

  • Clinical Social Worker
  • Friendswood, TX
National Provider Identifier
1639622830
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62674 Issued in TX
Practice address
307 S Friendswood Dr Ste B3
Friendswood, TX 77546-3950
Phone
(281) 747-6034
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 62674 TX
Clinical Social Worker 1041C0700X 62674 TX Primary

Addresses

Primary practice location

307 S Friendswood Dr Ste B3
Friendswood, TX 77546-3950

Mailing address

307 S Friendswood Dr Ste B3
Friendswood, TX 77546-3950
Phone (281) 747-6034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62674TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Walls Wellness PLLC Clinical CurrentSince Jun 1, 2021 Accepting new patients

Locations

307 S Friendswood Dr
Ste B3
Friendswood, TX 77546
Phone (281) 747-6034

12262 Queenston Blvd
Ste E
Houston, TX 77095
Phone (281) 743-3468

5205 Broadway St
Pearland, TX 77581

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1639622830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S FRIENDSWOOD DR STE B3",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463950",
            "telephone_number": "281-747-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S FRIENDSWOOD DR STE B3",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463950",
            "telephone_number": "281-747-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "62674",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.