Individual provider Active NPI

Charles M May, LCSW, LCDC

  • Clinical Social Worker
  • Brookshire, TX
National Provider Identifier
1699521641
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105046 Issued in TX
Practice address
535 FM 359 Rd S
Brookshire, TX 77423-9006
Phone
(281) 375-5300
Fax
(281) 239-0828
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16385 TX
Clinical Social Worker 1041C0700X 105046 TX Primary

Addresses

Primary practice location

535 FM 359 Rd S
Brookshire, TX 77423-9006

Mailing address

4910 Airport Ave Ste D
Rosenberg, TX 77471-5759
Phone (281) 239-1443

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
I20240530003932 TX Practitioner - Clinical Social Worker 2961844360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105046TXMDSpeech-Language Pathologist
16385TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jan 1, 2025 Accepting new patients
Texana Center CurrentSince Apr 12, 2024 Accepting new patients
Texana Center Past Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

400 Avenue F
Bay City, TX 77414
Phone (979) 245-9231

535 FM 359 Rd S
Brookshire, TX 77423
Phone (281) 375-5300

539 FM 359 Rd S
Brookshire, TX 77423

1460 Walnut St
Columbus, TX 78934
Phone (979) 732-6204

4910 Airport Ave
Ste A
Rosenberg, TX 77471
Phone (281) 239-1300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

2535 Cordes Dr
Sugar Land, TX 77479
Phone (281) 276-4400

3007 N Richmond Rd
Wharton, TX 77488
Phone (409) 732-2356

Organizations & group practices 3

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1699521641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 AIRPORT AVE STE D",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715759",
            "telephone_number": "281-239-1443",
            "fax_number": "281-239-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FM 359 RD S",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774239006",
            "telephone_number": "281-375-5300",
            "fax_number": "281-239-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookshire, TX

Sources for this page

Verify at the official NPI Registry.