Individual provider Active NPI

Annie Atwood, LMSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1669005518
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53698 Issued in TX
Practice address
1350 Nasa Pkwy Ste 210
Houston, TX 77058-2800
Phone
(281) 508-2205
NPI assigned
Feb 19, 2020
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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 53698 TX
Clinical Social Worker 1041C0700X 53698 TX Primary

Addresses

Primary practice location

1350 Nasa Pkwy Ste 210
Houston, TX 77058-2800

Mailing address

18218 Lakeside LN
Houston, TX 77058-4330
Phone (713) 397-2797

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aatwood@sanctuaryfostercare.org Direct

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

LicenseStateTypeSpecialty
53698TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Sanctuary Foster Care Services Clinical CurrentSince Dec 24, 2023 Accepting new patients
Merciful Minds Counseling LLC Current Accepting new patients

Locations

1350 Nasa Pkwy
Ste 210
Houston, TX 77058
Phone (281) 508-2205

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1669005518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18218 LAKESIDE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770584330",
            "telephone_number": "713-397-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NASA PKWY STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582800",
            "telephone_number": "281-508-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "ANNIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "53698",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aatwood@sanctuaryfostercare.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "617 Cole St Ste B",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.