Eveling Crisostomo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104390 Issued in TX

Practice address

12340 Jones Rd Ste 290
Houston, TX 77070-3129

Phone

(832) 756-2749

Fax

(859) 201-1151

NPI assigned

Aug 8, 2024

Last updated

Aug 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Eveling Itzel Crisostomo Moscosa Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spencer & Associates Therapeutic Alliance, PLLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1528440047
  Medicare reassignment NPD
• Spencer and Associates Therapeutic Alliance, PLLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1376089185
  NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1811728298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 JONES RD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703129",
            "telephone_number": "832-756-2749",
            "fax_number": "859-201-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 JONES RD STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703129",
            "telephone_number": "832-756-2749",
            "fax_number": "859-201-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "EVELING",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104390",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELING",
            "last_name": "CRISOSTOMO MOSCOSA",
            "middle_name": "ITZEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Landon Criner
• Rachel Rebekah Cripps
• Oana Crisan
• Criseven Health MGT Corp (Criseven Healthcare Service)
• Charlotte Crismyre, PA
• Janice Crisostomo
• Holly Diane Crisp, M.D.
• Undria Criss-Ayelagbe, FNP-C
• Megan Elizabeth Crissey, COTA
• Connor Crist

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.

Verify at the official NPI Registry.