Individual provider Active NPI

Alejandra Marivel Valdez Guzman

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1760983415
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108231 Issued in TX
Practice address
411 Durham Dr
Houston, TX 77007-7240
Phone
(713) 861-4849
Fax
(713) 867-7742
NPI assigned
Feb 27, 2018
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 108231 TX Primary

Addresses

Primary practice location

411 Durham Dr
Houston, TX 77007-7240

Mailing address

3603 Bastrop St
2
Houston, TX 77004
Phone (909) 275-8506

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
I20250116004046 TX Practitioner - Clinical Social Worker 5193253268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Center at Houston and Harris County CurrentSince Jan 15, 2025 Accepting new patients

Locations

1300 Bay Area Blvd
#240A
Houston, TX 77058
Phone (713) 861-4849

411 Durham Dr
Houston, TX 77007
Phone (713) 861-4849

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, 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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1760983415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 BASTROP ST",
            "address_2": "2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "909-275-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DURHAM DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077240",
            "telephone_number": "713-861-4849",
            "fax_number": "713-867-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ GUZMAN",
        "first_name": "ALEJANDRA",
        "middle_name": "MARIVEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.