Individual provider Active NPI

Amy L Atwood, LMSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1902686041
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111523 Issued in TX
Practice address
1001 S Dairy Ashford Rd Ste 580
Houston, TX 77077-2375
Phone
(281) 410-5622
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111523 TX Primary

Addresses

Primary practice location

1001 S Dairy Ashford Rd Ste 580
Houston, TX 77077-2375

Mailing address

1001 S Dairy Ashford Rd Ste 580
Houston, TX 77077-2375
Phone (281) 410-5622

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

LicenseStateTypeSpecialty
111523TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grove Crescent Counseling PLLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

1001 S Dairy Ashford Rd
Ste 580
Houston, TX 77077
Phone (281) 410-5622

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1902686041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S DAIRY ASHFORD RD STE 580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772375",
            "telephone_number": "281-410-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S DAIRY ASHFORD RD STE 580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772375",
            "telephone_number": "281-410-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "111523",
            "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 Oct 5, 2023; 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.