Marguerite Regan Braaten, LCSW
Individual provider Active NPI Clinical Social Worker · Humble, TX
NPI 1780809772 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780809772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW008012 (TX)
- Practice address
- 7702 FM 1960 Rd E
Suite 208
Humble, TX 77346-2201 - Phone
- (281) 812-7220
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW008012 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW008012 | TX | Yes |
Addresses
Primary practice location
7702 FM 1960 Rd E
Suite 208
Humble, TX 77346-2201
Mailing address
7702 FM 1960 Rd E
Suite 208
Humble, TX 77346-2201
Phone (281) 812-7220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW008012 | Other | TX | SOCIAL WORK LICENSE |
| S35K | Other | TX | BLUE CROSS NO. |
Other names
- Mr. Peggy Regan Braaten
Other providers in Humble, TX
- Taylor Boswell
- Daniel Bourn
- William Bowie Jr.
- Letitia Washington Bowman
- Tierra Boyd
- Doris Gail Brackins
- Anthony George Braddick
- Daniel Bradke
- Felicia Ann Bradley
- Latoya Bradley
All providers in Humble, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.