Individual provider Active NPI

Judy K. Kaplan, ACSW, LCSW, CEAP

  • Clinical Social Worker
  • Bellaire, TX
National Provider Identifier
1861566044
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S12014 Issued in TX
Practice address
4747 Bellaire Blvd Ste 354
Bellaire, TX 77401-4519
Phone
(713) 521-0540
Fax
(713) 521-0810
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 S12014 TX Primary

Addresses

Primary practice location

4747 Bellaire Blvd Ste 354
Bellaire, TX 77401-4519

Mailing address

4747 Bellaire Blvd Ste 354
Bellaire, TX 77401-4519
Phone (713) 521-0540

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
I20151218001458 TX Practitioner - Clinical Social Worker 1850692773 Practice locations: Bellaire, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4747 Bellaire Blvd
Suite 354
Bellaire, TX 77401-4519
Phone (713) 521-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12014TXMDAddiction (Substance Use Disorder) Counselor
S12014TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1861566044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 354",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014519",
            "telephone_number": "713-521-0540",
            "fax_number": "713-521-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 354",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014519",
            "telephone_number": "713-521-0540",
            "fax_number": "713-521-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JUDY",
        "middle_name": "K.",
        "credential": "ACSW, LCSW, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S12014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.