Individual provider Active NPI

Samer Madanat, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1700462959
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62953 Issued in TX
Practice address
5616 Lawndale St # A108A110
Houston, TX 77023-3821
Phone
(832) 548-5000
NPI assigned
Mar 18, 2021
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 62953 TX Primary

Addresses

Primary practice location

5616 Lawndale St # A108A110
Houston, TX 77023-3821

Mailing address

5616 Lawndale St # A108A110
Houston, TX 77023-3821
Phone (832) 548-5000

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
I20230123001670 TX Practitioner - Clinical Social Worker 1052782455 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62953TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Feb 1, 2026 Accepting new patients
Vivent Health Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

104 E Highland Mall Blvd
Ste 100
Austin, TX 78752
Phone (512) 458-2437

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1700462959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 LAWNDALE ST # A108A110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233821",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 LAWNDALE ST # A108A110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233821",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANAT",
        "first_name": "SAMER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-01-09",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.