Individual provider Active NPI

Ava Tricianne Knebel, LCSW

  • Clinical Social Worker
  • Livingston, TX
National Provider Identifier
1811863525
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60726 Issued in TX
Practice address
2120 US Highway 190 W
Livingston, TX 77351-9602
Phone
(936) 239-7178
NPI assigned
Oct 11, 2025
Last updated
Oct 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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 60726 TX Primary

Addresses

Primary practice location

2120 US Highway 190 W
Livingston, TX 77351-9602

Mailing address

2120 US Highway 190 W
Livingston, TX 77351-9602
Phone (936) 239-7178

Other identifiers 1

IdentifierTypeStateIssuer
60726OtherTXLCSW

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120004114 TX Practitioner - Clinical Social Worker 9133606247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2120 US Hwy 190 W
Livingston, TX 77351-9602

2939 Laurel Mist CT
Kingwood, TX 77345-4943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60726TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sustaining Grace Counseling, PLLC Clinical CurrentSince Dec 1, 2025 Accepting new patients

Locations

2120 US Highway 190 W
Livingston, TX 77352
Phone (936) 239-7178

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.

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1811863525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 US HIGHWAY 190 W",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519602",
            "telephone_number": "936-239-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 US HIGHWAY 190 W",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519602",
            "telephone_number": "936-239-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEBEL",
        "first_name": "AVA",
        "middle_name": "TRICIANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "60726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.