Active NPI
Corissa Debettignies, LMSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1841924909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108178
- Practice address
- 401 Branard St FL 2
Houston, TX 77006-5015 - Phone
- (713) 529-0037
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108178 | TX | Primary |
Addresses
Primary practice location
401 Branard St FL 2
Houston, TX 77006-5015
Mailing address
401 Branard St FL 2
Houston, TX 77006-5015
Phone (713) 529-0037
Other names 1
- Corissa Wagner
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224004307 | TX | Practitioner - Clinical Social Worker | 6608357942 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 Branard St
FL 2
Houston, TX 77006-5015
PO Box
Chattanooga, TN 37422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108178 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Montrose Center | Clinical | Current | Accepting new patients |
| Montrose Counseling Center, Inc. | Past | Accepting new patients |
Locations
2222 Cleburne St
Houston, TX 77004
Phone (713) 497-5549
401 Branard St
Fl 2
Houston, TX 77006
Phone (713) 529-0037
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Houston, TX
- NPI 1255652855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1841924909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BRANARD ST FL 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065015",
"telephone_number": "713-529-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BRANARD ST FL 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065015",
"telephone_number": "713-529-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBETTIGNIES",
"first_name": "CORISSA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "108178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORISSA",
"last_name": "WAGNER",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.