Individual provider Active NPI

Deborah Peterson Moncrief, LCSW LMFT

  • Clinical Social Worker
  • Sugar Land, TX
National Provider Identifier
1689672073
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18292 Issued in TX
Practice address
13333 Southwest Fwy
Ste 230
Sugar Land, TX 77478-3581
Phone
(281) 277-8811
Fax
(281) 277-8827
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 18292 TX Primary
Marriage & Family Therapist 106H00000X 003042008541 TX

Addresses

Primary practice location

13333 Southwest Fwy
Ste 230
Sugar Land, TX 77478-3581

Mailing address

13333 Southwest Fwy
Ste 230
Sugar Land, TX 77478-3581
Phone (281) 277-8811

Other identifiers 1

IdentifierTypeStateIssuer
108281002MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
003042008541TXMDMarriage & Family Therapist
18292TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1689672073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 SOUTHWEST FWY",
            "address_2": "STE 230",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783581",
            "telephone_number": "281-277-8811",
            "fax_number": "281-277-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 SOUTHWEST FWY",
            "address_2": "STE 230",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783581",
            "telephone_number": "281-277-8811",
            "fax_number": "281-277-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "DEBORAH",
        "middle_name": "PETERSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "18292",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "003042008541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108281002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.