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SAMUEL GARCIA LCSW, LCDC
NPI 1154166395
Social Worker - Clinical in Houston, TX

Active since June 28, 2024PECOS EnrolledAccepts Medicare Assignment
4430 HARRISBURG, SUITE 240, HOUSTON, TX 77011(713) 798-6333 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2024, Jul 7, 2024, Jun 28, 2024 (3 updates tracked since 2024).

About Samuel Garcia Lcsw, Lcdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GARCIA LCSW, LCDC (NPI 1154166395) is an individual clinical provider in Houston, Texas, licensed in Texas (51642) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154166395
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL GARCIACredential: LCSW, LCDC
Location Address4430 HARRISBURG, SUITE 240Houston, TX 77011
Mailing Address10807 Fall Mill DrHouston, TX 77075-1456 · (713) 542-4304
Phone(713) 798-6333
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 28, 2024
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1154166395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 51642
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 51642 (TX)
4430 HARRISBURG, Houston, TX 77011
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Secondary Practice Location 1

Location 110807 Fall Mill DrHouston, TX 77075-1456 · Phone (713) 542-4304

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Garcia Lcsw, Lcdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810434354
PECOS Enrollment IDI20240801004465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
4.9 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000
Sondermind Provider Network LLC
881 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.24 – $176.98
Typical copayment $0.00 (range $14.56 – $44.24)
Most-billed visit code NA
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Garcia's NPI number?

The NPI number for Samuel Garcia is 1154166395. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Samuel Garcia located?

Samuel Garcia practices at 4430 Harrisburg Suite 240, Houston, TX 77011. The listed phone number is (713) 798-6333.

What is Samuel Garcia's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samuel Garcia enrolled in Medicare?

Yes. Samuel Garcia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Garcia reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Garcia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Samuel Garcia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Garcia was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.