Active NPI
Vanesssa Irene Egerton, LCSW
- Clinical Social Worker
- Spring, TX
National Provider Identifier
1669002937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 57546
- Practice address
- 17618 Bent Cypress Dr
Spring, TX 77388-5708 - Phone
- (713) 397-5047
- NPI assigned
- Jan 24, 2020
- Last updated
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57546 | TX | Primary |
| School Social Worker | 1041S0200X | TX |
Addresses
Primary practice location
17618 Bent Cypress Dr
Spring, TX 77388-5708
Mailing address
17618 Bent Cypress Dr
Spring, TX 77388-5708
Phone (713) 397-5047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57546 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1669002937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17618 BENT CYPRESS DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773885708",
"telephone_number": "713-397-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17618 BENT CYPRESS DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773885708",
"telephone_number": "713-397-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGERTON",
"first_name": "VANESSSA",
"middle_name": "IRENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57546",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
- Educare Community Living Corporation - Gulf Coast
- Educare Community Living Limited Partnership
- Educare Communtiy Living Limited Partnership
- Keisha Edwards, RBT
- Rhett G Edwards, LPC
- Ehs Physician Group PLLC
- Mark Aaron Eilers, M.D.
- Einstein's Pharmacy LLC
- Mia Eisele, COTA
- Eisenbath Wellness - Creekside LLC (HealthSource of Creekside)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.