Active NPI
Mary Katherine Escobar, LCSW
- Clinical Social Worker
- Cypress, TX
National Provider Identifier
1952155285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19201
- Practice address
- 12930 Teal Hollow Dr
Cypress, TX 77429-4982 - Phone
- (281) 935-2664
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19201 | TX | Primary |
Addresses
Primary practice location
12930 Teal Hollow Dr
Cypress, TX 77429-4982
Mailing address
12930 Teal Hollow Dr
Cypress, TX 77429-4982
Phone (281) 935-2664
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6021 Fairmont Pkwy
Suite 200
Pasadena, TX 77505-4511
Phone (281) 769-2238
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19201 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearhope Counseling and Wellness Center, PC | Clinical | Current | Accepting new patients |
Locations
6021 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 769-2238
Organizations & group practices 2
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.
-
- Counselor
- Cypress, TX
- NPI 1396329868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1952155285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12930 TEAL HOLLOW DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294982",
"telephone_number": "281-935-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12930 TEAL HOLLOW DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294982",
"telephone_number": "281-935-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "MARY",
"middle_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "19201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.