Individual provider Active NPI

Dyomarithz Raquel McCalla-Travis

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1730862673
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114552 Issued in TX
Practice address
11510 Hackmatack Way
Houston, TX 77066-1062
Phone
(832) 407-8555
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114552 TX Primary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X

Addresses

Primary practice location

11510 Hackmatack Way
Houston, TX 77066-1062

Mailing address

11510 Hackmatack Way
Houston, TX 77066-1062
Phone (832) 407-8555

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
114552TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou Behavioral Healthcare Services Inc Counselor PastSince Aug 1, 2023 Accepting new patients

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1730862673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 HACKMATACK WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661062",
            "telephone_number": "832-407-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 HACKMATACK WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661062",
            "telephone_number": "832-407-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLA-TRAVIS",
        "first_name": "DYOMARITHZ",
        "middle_name": "RAQUEL",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "114552",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.