Traci Hiller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52569 Issued in TX

Practice address

24200 Southwest Fwy Ste 402-108
Rosenberg, TX 77471-5984

Phone

(480) 442-8522

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Healing Path Foundation

  • Clinical Social Worker
  • Sugar Land, TX
  • NPI 1285527374
  NPD (past)

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1881361608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 SOUTHWEST FWY STE 402-108",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715984",
            "telephone_number": "480-442-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 SOUTHWEST FWY STE 402-108",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715984",
            "telephone_number": "480-442-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLER",
        "first_name": "TRACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amani Yasmeen Henry, LPC
• Justin Travis Henson, DC, ATC, LAT, LMT
• Jessica Hickman
• Ashten Elizabeth Higginbotham, BCBA
• Elizabeth Drew Hill, SLP
• John Paul Hillis, BCBA
• Teah Rocki Hippe, BCBA
• Donald Lee Hlavinka, M.A., LPC-S, LMFT-S
• Rachel Nicole Hoffman, BCBA
• Mark Wayne Holloway, DDS

• Clinical Social Worker in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.