Active NPI
Shirley Marie Ware-Gully, LCSW
- Clinical Social Worker
- Kingwood, TX
National Provider Identifier
1972687796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 42675
- Practice address
- 2323 Timber Shadows Dr
B
Kingwood, TX 77339-2028 - Phone
- (281) 657-6052
- Fax
- (281) 657-6052
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 42675 | TX | |
| Clinical Social Worker | 1041C0700X | 42675 | TX | Primary |
Addresses
Primary practice location
2323 Timber Shadows Dr
B
Kingwood, TX 77339-2028
Mailing address
2323 Timber Shadows Dr
B
Kingwood, TX 77339-2028
Phone (281) 657-6052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42675 | TX | MD | Clinical Social Worker |
| 11052 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Inc | Clinical | Past | Accepting new patients |
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": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1972687796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 TIMBER SHADOWS DR",
"address_2": "B",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392028",
"telephone_number": "281-657-6052",
"fax_number": "281-657-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 TIMBER SHADOWS DR",
"address_2": "B",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392028",
"telephone_number": "281-657-6052",
"fax_number": "281-657-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE-GULLY",
"first_name": "SHIRLEY",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "42675",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "42675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.