Individual provider Active NPI

Jodi Arden Berger Cardoso, LCSW. PHD

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1801005079
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
39894 Issued in TX
Practice address
1302 Waugh Dr # 538
Houston, TX 77019-3908
Phone
(832) 387-5735
NPI assigned
May 22, 2007
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 39894 TX Primary

Addresses

Primary practice location

1302 Waugh Dr # 538
Houston, TX 77019-3908

Mailing address

1302 Waugh Dr # 538
Houston, TX 77019-3908
Phone (832) 387-5735

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39894TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1801005079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WAUGH DR # 538",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193908",
            "telephone_number": "832-387-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 WAUGH DR # 538",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193908",
            "telephone_number": "832-387-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER CARDOSO",
        "first_name": "JODI",
        "middle_name": "ARDEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW. PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39894",
            "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 Apr 11, 2024; 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.