Individual provider Active NPI

Jamila Yvette Woods, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1962871632
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50665 Issued in TX
Practice address
7787 Pinemont Dr Ste B
Houston, TX 77040-6216
Phone
(713) 686-9194
Fax
(713) 686-9413
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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 50665 TX Primary

Addresses

Primary practice location

7787 Pinemont Dr Ste B
Houston, TX 77040-6216

Mailing address

PO Box 550769
Houston, TX 77255-0769
Phone (713) 686-9194

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
I20160504002063 TX Practitioner - Clinical Social Worker 8527367085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50665TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Gulf Coast Center CurrentSince Jul 14, 2021 Accepting new patients
On Site Counseling,Inc. Clinical CurrentSince Apr 24, 2017 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Dec 9, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 24, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

101 Tigner St
Angleton, TX 77515
Phone (800) 710-4322

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

123 Rosenberg St
Ste 4
Galveston, TX 77550

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4444 W Main St
League City, TX 77573

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1962871632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550769",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772550769",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 PINEMONT DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406216",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JAMILA",
        "middle_name": "YVETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.