Individual provider Active NPI

Keriomi Timpson-Bey, LCSW

  • Clinical Social Worker
  • Missouri City, TX
National Provider Identifier
1821304411
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59768 Issued in TX
Practice address
8810 Highway 6 Ste 100
Missouri City, TX 77459-7104
Phone
(713) 352-9797
NPI assigned
Aug 20, 2010
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 59768 TX Primary

Addresses

Primary practice location

8810 Highway 6 Ste 100
Missouri City, TX 77459-7104

Mailing address

8810 Highway 6 Ste 100
Missouri City, TX 77459-7104
Phone (133) 529-7977

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
I20221101000454 TX Practitioner - Clinical Social Worker 6103293303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59768TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 25, 2022 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jan 6, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

400 N Texas Ave
Ste A
Webster, TX 77598
Phone (281) 338-2798

Organizations & group practices 3

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1821304411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 HIGHWAY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597104",
            "telephone_number": "133-529-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 HIGHWAY 6 STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597104",
            "telephone_number": "713-352-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMPSON-BEY",
        "first_name": "KERIOMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.