Individual provider Active NPI

Antoinette Lillian Vincent, LCSW

  • Clinical Social Worker
  • Pearland, TX
National Provider Identifier
1942150370
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104212 Issued in TX
Practice address
12234 Shadow Creek Pkwy Ste 10106
Pearland, TX 77584-7343
Phone
(346) 206-3992
Fax
(832) 652-3626
NPI assigned
Feb 3, 2026
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 104212 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy Ste 10106
Pearland, TX 77584-7343

Mailing address

14930 Mueschke Rd Ste 100
Cypress, TX 77433-0980
Phone (346) 206-3992

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
I20260303002330 TX Practitioner - Clinical Social Worker 2365924073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14930 Mueschke Rd
Suite 100
Cypress, TX 77433-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104212TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilience Center of Houston, LLC Clinical CurrentSince Mar 1, 2026 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

12234 Shadow Creek Pkwy
Ste 10106
Pearland, TX 77584

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": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1942150370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 MUESCHKE RD STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330980",
            "telephone_number": "346-206-3992",
            "fax_number": "832-652-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 10106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847343",
            "telephone_number": "346-206-3992",
            "fax_number": "832-652-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ANTOINETTE",
        "middle_name": "LILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.