Active NPI
Rheanisha Burrell, LCSW
- Clinical Social Worker
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56373
- Practice address
- 2002 Holcombe Blvd
Houston, TX 77030-4211 - Phone
- (832) 491-2146
- NPI assigned
- Feb 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50082260 | DC | |
| Clinical Social Worker | 1041C0700X | 56373 | TX | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
Houston, TX 77030-4211
Mailing address
PO Box 300777
Houston, TX 77230-0777
Other practice location 1
11811 North Fwy Ste 500
Houston, TX 77060-3287
Phone (832) 450-6858
Other practice location 2
15218 Stulan Burn Dr
Humble, TX 77346-4793
Phone (936) 443-4794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3802480 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA, DE, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Virginia Commonwealth Univ School of Dentistry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Southwestern Blvd
Suite 290
Sugar Land, TX 77478-3548
Phone (877) 583-5633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082260 | DC | MD | Clinical Social Worker |
| 56373 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Tidalhealth Nanticoke, Inc | Current | Accepting new patients | |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Clinical | Current | Accepting new patients |
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Behavioral Health Specialists (de), P.a. | Clinical | Current | Accepting new patients |
Locations
1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
424 Church St
Ste 2000
Nashville, TN 37219
Phone (615) 496-8145
1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (512) 862-7200
101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633
3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
Clinical
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1972928133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300777",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772300777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "832-491-2146"
}
],
"practiceLocations": [
{
"address_1": "11811 North Fwy Ste 500",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770603287",
"country_code": "US",
"telephone_number": "832-450-6858",
"fax_number": "866-936-3713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15218 Stulan Burn Dr",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773464793",
"country_code": "US",
"telephone_number": "936-443-4794",
"fax_number": "866-936-3713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURRELL",
"first_name": "RHEANISHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082260",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3802480",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.