Active NPI
Faith Antoinette Story, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1891579207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 52413
- Practice address
- 13656 Breton Ridge St # Ah
Houston, TX 77070-6081 - Phone
- (281) 429-8780
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 52413 | TX | |
| Clinical Social Worker | 1041C0700X | 52413 | TX | Primary |
Addresses
Primary practice location
13656 Breton Ridge St # Ah
Houston, TX 77070-6081
Mailing address
601 Regency Dr
Deer Park, TX 77536-6174
Phone (832) 766-2774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52413 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1891579207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 REGENCY DR",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775366174",
"telephone_number": "832-766-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13656 BRETON RIDGE ST # AH",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770706081",
"telephone_number": "281-429-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "FAITH",
"middle_name": "ANTOINETTE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "52413",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "52413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.