Theresa Fawvor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33482 Issued in TX

Practice address

3033 Gessner Rd
Houston, TX 77080-1000

Phone

(713) 329-7501

Fax

(713) 329-7505

NPI assigned

Apr 7, 2016

Last updated

Apr 7, 2016By the provider in NPPES

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

Other names 1

• Theresa Lloyd Former name

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Health and Consultation LLC

  • Clinical Social Worker
  • Brenham, TX
  • NPI 1235919325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1932563764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770801000",
            "telephone_number": "713-329-7501",
            "fax_number": "713-329-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770801000",
            "telephone_number": "713-329-7501",
            "fax_number": "713-329-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWVOR",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "LLOYD",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fawcett Center for Dentistry, PA
• Wayde Fawcett, D.D.S.
• Taiwo Fawehinmi
• Folake Fawibe
• Oluwatunmise A Fawole, MD, MPH
• Luis E. Fayad, M.D.
• Fayaz a. Faiz, M.D., P.a.
• Faydon LLC
• Ashley Faye, MD
• Valerie L Fayle, CPRSS

• Clinical Social Worker in Houston, TX
• Providers in Houston, 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 Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.