Active NPI
Eva Elizeth Briones-Fairley, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1811495906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58651
- Practice address
- 8329 Lawndale St
Houston, TX 77012-3707 - Phone
- (832) 548-5000
- NPI assigned
- Jan 24, 2018
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 58651 | TX | Primary |
Addresses
Primary practice location
8329 Lawndale St
Houston, TX 77012-3707
Mailing address
PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5000
Other practice location 1
1415 California St
Houston, TX 77006-2602
Phone (713) 665-8800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58651 | TX | MD | Pharmacist |
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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1679524961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1811495906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308",
"telephone_number": "832-548-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8329 LAWNDALE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770123707",
"telephone_number": "832-548-5000"
}
],
"practiceLocations": [
{
"address_1": "1415 California St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770062602",
"country_code": "US",
"telephone_number": "713-665-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIONES-FAIRLEY",
"first_name": "EVA",
"middle_name": "ELIZETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58651",
"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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.