MADISON BROCK (NPI# 1285199638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285199638 |
| Entity Type | Individual |
| Full Name | MADISON BROCK |
| Credential | LCSW, MSSW |
| Practice Address |
17823 Clearlight Ln Spring TX 77379-4024 |
| Practice Telephone | 8322174225 |
| Mailing Telephone | 8322174225 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
61004 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Sugar Grove Blvd, Stafford, TX 774772635 | 8442417650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962686 | Madison Brock | Behavior Technician | 903 Proton Rd, San Antonio, TX 78258-4203 | 2019-10-06 |
| Street Address |
17823 CLEARLIGHT LN |
| City | SPRING |
| State | TX |
| Zip Code | 77379-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366924433 | Alicia R Horn | Counselor | 7109 Farm To Market 2920, Suite 600, Spring, TX 77379 | 2018-09-05 |
| 1235631714 | Jessica Renee Borrego | Physical Therapist | 16835 Deer Creek Driv, Spring, TX 77379 | 2018-03-01 |
| 1992217640 | Brianna Williams | Occupational Therapist | 17015 Lazy Hill Ln, Spring, TX 77379 | 2017-11-02 |
| 1558885392 | Quality Living Home Care,llc | In Home Supportive Care | 7614 Theisswood Rd, Spring, TX 77379 | 2017-08-02 |
| 1558899518 | Stuart James Rooney | Dentist | 8419 Louetta Rd Ste A, Spring, TX 77379 | 2017-06-02 |
| 1336674357 | Sonia Ann Varghese | Student in an Organized Health Care Education/Training Program | 7031 Villa Mountain Ln, Spring, TX 77379 | 2017-04-27 |
| 1063950459 | Magnificat Primary Care LLC | Clinic/Center | 17835 Kuykendahl Road, Spring, TX 77379 | 2017-02-06 |
| 1609312784 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10833 Gleannloch Forest Drive, Spring, TX 77379 | 2017-01-12 |
| 1467996025 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 8687 Louetta Rd Ste 275, Spring, TX 77379 | 2016-12-15 |
| Find all providers in zip 77379 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131569 | Creating Connections Counseling Services Pllc | Social Worker | 15 Canoe Bend Dr, Spring, TX 77389-5091 | 2020-07-21 |
| 1710518550 | Leigh Alanna Todd | Social Worker | 25700 I-45, #415, Spring, TX 77389 | 2020-01-30 |
| 1669002937 | Vanesssa Irene Egerton | Social Worker | 17618 Bent Cypress Dr, Spring, TX 77388-5708 | 2020-01-24 |
| 1487291852 | Kristyn D Carrillo | Social Worker | 6314 Pinyon Trail Dr, Spring, TX 77389-4298 | 2019-12-04 |
| 1548805013 | Janine Froehlich Al-khudhairy | Social Worker | 32114 Aspen Grove Ct, Spring, TX 77386-4878 | 2019-11-08 |
| 1639694557 | Lindsay Vicknair Dornier | Social Worker | 186 W Sterling Pond Cir, Spring, TX 77382-1004 | 2017-08-11 |
| 1740733542 | Amanda Kathleen Dennis | Social Worker | 8203 Scoresby Manor Ct, Spring, TX 77379-5318 | 2016-07-27 |
| 1114321221 | Adrienne Bolten | Social Worker | 1231 Berwick Manor Ct, Spring, TX 77379-3046 | 2014-10-17 |
| 1659795250 | Beth E. Hodges | Social Worker | 15 Shearwater Pl, Spring, TX 77381-5124 | 2014-02-18 |
| 1033461629 | Jennifer Lyn Palahniuk | Social Worker | 6334 Fm 2920 Rd Ste 300, Spring, TX 77379-3473 | 2012-10-08 |
| Find all providers in SPRING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.