Individual provider Active NPI

Timothy Pass, LCSW, LISW

  • Clinical Social Worker
  • Crowley, TX
National Provider Identifier
1831485911
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113272 Issued in TX
Practice address
5001 Chital Dr
Crowley, TX 76036-4259
Phone
(859) 312-3272
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2204018 OH
Clinical Social Worker 1041C0700X 113272 TX Primary

Addresses

Primary practice location

5001 Chital Dr
Crowley, TX 76036-4259

Mailing address

5001 Chital Dr
Crowley, TX 76036-4259
Phone (859) 312-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250611002896 TX Practitioner - Clinical Social Worker 5597275115 Reassigns benefits to 3 organizations
I20260316001368 OH Practitioner - Clinical Social Worker 5597275115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2204018OHMDClinical Social Worker
113272TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Feb 6, 2026 Accepting new patients
Pass Counseling Services PLLC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Apr 7, 2025 Accepting new patients
Vcounselors PLLC CurrentSince Apr 7, 2025 Accepting new patients
Cadence Care Network PastSince Jul 31, 2021 Accepting new patients
Community Counseling & Mentoring Services,Inc Past Accepting new patients
Cadence Care Network PastSince Jan 1, 2021 Accepting new patients
Community Counseling & Mentoring Services, Inc Past Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1831485911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 CHITAL DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364259",
            "telephone_number": "859-312-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 CHITAL DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364259",
            "telephone_number": "859-312-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204018",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "113272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.