Individual provider Active NPI

Patricia Ann Tademy, LCSW

  • Clinical Social Worker
  • Rosharon, TX
National Provider Identifier
1922166792
Registry record updated Mar 10, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20106 Issued in TX
Practice address
5503 Canyon Bluff CT
Rosharon, TX 77583-2090
Phone
(832) 891-9355
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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 20106 TX Primary

Addresses

Primary practice location

5503 Canyon Bluff CT
Rosharon, TX 77583-2090

Mailing address

5503 Canyon Bluff CT
Rosharon, TX 77583-2090
Phone (832) 891-9355

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
20106TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oroki Family Health Clinic, PA Past Accepting new patients
Dynamic Counseling Services LLC PastSince May 9, 2011 Accepting new patients
Propsych Management, Inc. Past Accepting new patients
Visionaire Plus, Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1922166792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 CANYON BLUFF CT",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832090",
            "telephone_number": "832-891-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 CANYON BLUFF CT",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832090",
            "telephone_number": "832-891-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEMY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosharon, TX

Sources for this page

Verify at the official NPI Registry.