Individual provider Active NPI

Erna H Klinkhammer, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1649377219
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19604 Issued in TX
Practice address
2615 Olympus Dr
Houston, TX 77084-4242
Phone
(832) 643-1116
Fax
(281) 492-6077
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002089 GA
Clinical Social Worker 1041C0700X 19604 TX Primary

Addresses

Primary practice location

2615 Olympus Dr
Houston, TX 77084-4242

Mailing address

2615 Olympus Dr
Houston, TX 77084-4242
Phone (832) 643-1116

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
I20160129001778 TX Practitioner - Clinical Social Worker 9638363922 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2615 Olympus Dr
Houston, TX 77084-4242
Phone (832) 643-1116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW002089GAMDClinical Social Worker
19604TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Mental Health Services, Corporation Clinical PastSince Oct 1, 1996 Accepting new patients

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1649377219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 OLYMPUS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844242",
            "telephone_number": "832-643-1116",
            "fax_number": "281-492-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 OLYMPUS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844242",
            "telephone_number": "832-643-1116",
            "fax_number": "281-492-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINKHAMMER",
        "first_name": "ERNA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.