Active NPI
Fatima Mohiuddin, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1770358343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65583
- Practice address
- 11701 Durrette Dr
Houston, TX 77024-6412 - Phone
- (713) 398-7015
- NPI assigned
- Nov 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 65583 | TX | Primary |
Addresses
Primary practice location
11701 Durrette Dr
Houston, TX 77024-6412
Mailing address
11701 Durrette Dr
Houston, TX 77024-6412
Phone (713) 398-7015
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65583 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc Outreach Services | Clinical | Past | 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": "1700697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700697600000",
"number": "1770358343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 DURRETTE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770246412",
"telephone_number": "713-398-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 DURRETTE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770246412",
"telephone_number": "713-398-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHIUDDIN",
"first_name": "FATIMA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-23",
"last_updated": "2023-11-23",
"certification_date": "2023-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "65583",
"primary": true
}
],
"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 Nov 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.