Individual provider Active NPI

Gardenia Garza Paul, LCSW

  • Clinical Social Worker
  • Pasadena, TX
National Provider Identifier
1932880267
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68551 Issued in TX
Practice address
6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511
Phone
(281) 769-2238
Fax
(281) 769-2164
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 68551 TX Primary

Addresses

Primary practice location

6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511

Mailing address

407 Avondale St
League City, TX 77573-2201
Phone (832) 319-4222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231018000079 TX Practitioner - Clinical Social Worker 7012362619 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68551TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearhope Counseling and Wellness Center, PC Clinical CurrentSince Aug 22, 2023 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Aug 23, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Aug 23, 2024 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

6021 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 769-2238

Organizations & group practices 3

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1932880267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVONDALE ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732201",
            "telephone_number": "832-319-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 FAIRMONT PKWY STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054511",
            "telephone_number": "281-769-2238",
            "fax_number": "281-769-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "GARDENIA",
        "middle_name": "GARZA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.