Organization
COMMUNITY CARE CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANAVIA NAOMI RICHARDSON MBA (DIRECTOR)
(832) 775-5203
Entity
Organization
Contact information
Practice address
5202 CEDAR ST, BELLAIRE, TX 77401-3915
(832) 775-5203
(832) 775-5204
Mailing address
12407 FOX MEADOW DR, STAFFORD, TX 77477-2285
(832) 775-5203
(832) 775-5204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
54807
TX
1041C0700X
Clinical Social Worker
55706
TX
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189407301
—
TX
Enumeration date
08/08/2012
Last updated
01/15/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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