Individual provider Active NPI

Christen Dobbs, LCSW

  • Clinical Social Worker
  • Friendswood, TX
National Provider Identifier
1992176176
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55774 Issued in TX
Practice address
5471 Appleblossom LN
Friendswood, TX 77546-3344
Phone
(713) 828-4615
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 55774 TX Primary

Addresses

Primary practice location

5471 Appleblossom LN
Friendswood, TX 77546-3344

Mailing address

5471 Appleblossom LN
Friendswood, TX 77546-3344
Phone (713) 828-4615

Other practice location 1

3003 Regata Run Dr
Friendswood, TX 77546-7434
Phone (713) 828-4615

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
I20170105000612 TX Practitioner - Clinical Social Worker 9638450687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55774TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holding Hope Counseling, LLC Clinical CurrentSince Nov 3, 2019 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1992176176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 APPLEBLOSSOM LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463344",
            "telephone_number": "713-828-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 APPLEBLOSSOM LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463344",
            "telephone_number": "713-828-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Regata Run Dr",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775467434",
            "country_code": "US",
            "telephone_number": "713-828-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "CHRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.