Individual provider Active NPI

Shylonda Miller

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1639985344
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117524 Issued in TX
Practice address
1880 S Dairy Ashford Rd Ste 207
Houston, TX 77077-4759
Phone
(832) 409-7242
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 117524 TX Primary

Addresses

Primary practice location

1880 S Dairy Ashford Rd Ste 207
Houston, TX 77077-4759

Mailing address

1880 S Dairy Ashford Rd Ste 207
Houston, TX 77077-4759
Phone (832) 409-7242

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
I20260220002242 TX Practitioner - Clinical Social Worker 4880175504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16755 W Lake Houston Pkwy
Apt 204
Houston, TX 77044-6366

7676 Hillmont St
Suite 360
Houston, TX 77040-6498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117524TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Retrospective Wellness LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients

Locations

1880 S Dairy Ashford Rd
Ste 207
Houston, TX 77077
Phone (832) 409-7242

7676 Hillmont St
Ste 360
Houston, TX 77040
Phone (832) 409-7242

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1639985344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774759",
            "telephone_number": "832-409-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774759",
            "telephone_number": "832-409-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHYLONDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "117524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.