Individual provider Active NPI

Rachel Suzanne Brown, LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1700108958
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61770 Issued in TX
Practice address
1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492
Phone
(713) 440-8513
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61770 TX Primary

Addresses

Primary practice location

1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492

Mailing address

1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492
Phone (501) 519-0522

Other names 1

  • Rachel Suzanne Paulk Former name

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
I20190626000334 TX Practitioner - Clinical Social Worker 4486927936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1416 Stonehollow Dr
Suite B
Kingwood, TX 77339-2492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61770TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy Center, LLC Clinical CurrentSince Jan 14, 2024 Accepting new patients

Locations

1416 Stonehollow Dr
Ste B
Kingwood, TX 77339
Phone (713) 440-8513

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1700108958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 STONEHOLLOW DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392492",
            "telephone_number": "501-519-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 STONEHOLLOW DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392492",
            "telephone_number": "713-440-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RACHEL",
        "middle_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PAULK",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.