Individual provider Active NPI

Reneka Clark, MSW, LCSW-BACS

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1962875583
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106054 Issued in TX
Practice address
2909 Hillcroft Ave Ste 695
Houston, TX 77057-5851
Phone
(346) 833-5905
Fax
(318) 625-0636
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 106054 TX Primary
Social Worker 104100000X 11155 LA

Addresses

Primary practice location

2909 Hillcroft Ave Ste 695
Houston, TX 77057-5851

Mailing address

2909 Hillcroft Ave Ste 695
Houston, TX 77057-5851
Phone (346) 833-5909

Other identifiers 3

IdentifierTypeStateIssuer
106054OtherTXTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
11155OtherLALOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
1457979056MedicaidTX

Other names 1

  • Reneka Hayes Former name

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
I20220609000505 TX Practitioner - Clinical Social Worker 4789965658 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11155LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Pathways to Care LLC Current Accepting new patients
Bright Horizons Mental Health, LLC Current Accepting new patients
Unlimited Pathways to Change, LLC CurrentSince Jul 12, 2020 Accepting new patients
Supportive Care LLC CurrentSince Jul 1, 2022 Accepting new patients
The Center for Change PLLC CurrentSince Jun 1, 2022 Accepting new patients
Youth and Families Empowerment Services Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

201 Sycamore School Rd
Ft Worth, TX 76134
Phone (817) 293-7610

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

2909 Hillcroft Ave
Ste 695
Houston, TX 77057

5757 Woodway Dr
Ste 327
Houston, TX 77057
Phone (713) 340-6833

5757 Woodway Dr
Ste 319
Houston, TX 77057
Phone (832) 305-6706

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 6

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": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1962875583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HILLCROFT AVE STE 695",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575851",
            "telephone_number": "346-833-5909",
            "fax_number": "832-941-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 HILLCROFT AVE STE 695",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575851",
            "telephone_number": "346-833-5905",
            "fax_number": "318-625-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RENEKA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106054",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "106054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "11155",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457979056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEKA",
            "last_name": "HAYES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.