Siedah Kernisha Atherley, LCSW
Individual provider Active NPI Clinical Social Worker · Tomball, TX
NPI 1811634348 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1811634348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 68126 (TX)
- Practice address
- 24048 Kuykendahl Rd
Tomball, TX 77375-5326 - Phone
- (866) 389-2727
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Highland Corporate Dr
Cumberland, RI 02864-1786
66 E Flagler St
Miami, FL 33130-1807
PO Box
Suite 772
Woonsocket, RI 02895
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, OK, IL, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929001904 | TX | Practitioner - Clinical Social Worker | 0446636328 | Reassigns benefits to 4 organizations |
| I20250923002169 | OK | Practitioner - Clinical Social Worker | 0446636328 | Reassigns benefits to 2 organizations |
| I20251203002495 | IL | Practitioner - Clinical Social Worker | 0446636328 | Reassigns benefits to 1 organization |
| I20260302001314 | LA | Practitioner - Clinical Social Worker | 0446636328 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Minuteclinic Telehealth Services of Texas Association | Clinical | Current |
Accepting new patients |
| Minuteclinic Video Virtual Care, PLLC | Clinical | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Oklahoma LLC | Current |
Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Clinical | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Texas PLLC | Clinical | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980
1040 SW 19th St
Moore, OK 73160
Phone (405) 794-3001
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
602 W Grand Pkwy S
Katy, TX 77494
Phone (281) 392-3808
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
24048 Kuykendahl Rd
Tomball, TX 77375
Phone (281) 255-3897
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 68126 | TX | Yes |
Addresses
Primary practice location
24048 Kuykendahl Rd
Tomball, TX 77375-5326
Mailing address
24048 Kuykendahl Rd
Tomball, TX 77375-5326
Phone (866) 389-2727
Other practice location 1
10780 Westview Dr Ste F
Houston, TX 77043-5038
Phone (832) 945-1275
Other providers in Tomball, TX
- John Keith Askew
- Ahmad Adnan Aslam
- Shamaila Adnan Aslam
- Hector Astudillo Mantilla
- Astudillo Surgical Assistant LLC
- Satyasri Atluri
- Atrium Pharmacy Inc
- Michael E Ault
- Austin Two Medical Group, PLLC
- Avail Iom PLLC
All providers in Tomball, 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, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.