Individual provider Active NPI

Buernorkie Beatrice Klokpah, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1669963096
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1919 Taylor St Ste F1230
Houston, TX 77007-3973
Phone
(501) 683-9365
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1919 Taylor St Ste F1230
Houston, TX 77007-3973

Mailing address

1919 Taylor St Ste F1230
Houston, TX 77007-3973
Phone (501) 683-9365

Other practice location 1

217 W 2ND St
Ste 207
Little Rock, AR 72201-2521
Phone (501) 683-9365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60062TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1669963096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 TAYLOR ST STE F1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073973",
            "telephone_number": "501-683-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 TAYLOR ST STE F1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073973",
            "telephone_number": "501-683-9365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 W 2ND ST",
            "address_2": "STE 207",
            "address_purpose": "LOCATION",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012521",
            "country_code": "US",
            "telephone_number": "501-683-9365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOKPAH",
        "first_name": "BUERNORKIE",
        "middle_name": "BEATRICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.