Individual provider Active NPI

Michael David Musgrove, MSSW, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1720774607
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
56889 Issued in TX
Practice address
5760 W Little York Rd
Houston, TX 77091-1112
Phone
(281) 707-7359
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 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 56889 TX Primary

Addresses

Primary practice location

5760 W Little York Rd
Houston, TX 77091-1112

Mailing address

15712 Orange Dr
Harlingen, TX 78552-1571
Phone (956) 206-6749

Other practice location 1

15712 Orange Dr
Harlingen, TX 78552-1571
Phone (195) 620-6674

Other practice location 2

144 North 4TH Street
Brooklyn
New York, NY 11249
Phone (646) 450-7748

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
I20230629000756 TX Practitioner - Clinical Social Worker 1850750522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Clinical CurrentSince Jun 12, 2023 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

5760 W Little York Rd
Houston, TX 77091
Phone (281) 707-7359

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 1

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1720774607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15712 ORANGE DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785521571",
            "telephone_number": "956-206-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770911112",
            "telephone_number": "281-707-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15712 Orange Dr",
            "address_purpose": "LOCATION",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785521571",
            "country_code": "US",
            "telephone_number": "195-620-6674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 NORTH 4TH STREET",
            "address_2": "BROOKLYN",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11249",
            "country_code": "US",
            "telephone_number": "646-450-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.