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MS. DONNA MARIE TOMLINSON MSW
NPI 1366461881
Social Worker - Clinical in Houston, TX

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
1823 WAUGH DR, HOUSTON, TX 77006(713) 942-9026(713) 523-5043 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Donna Marie Tomlinson Msw NPPES

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

MS. DONNA MARIE TOMLINSON MSW (NPI 1366461881) is an individual clinical provider in Houston, Texas, licensed in Texas (09973) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1366461881
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DONNA MARIE TOMLINSONCredential: MSW
Location Address1823 WAUGH DRHouston, TX 77006-1128
Mailing Address1219 Stonecrest DrHouston, TX 77018-7413 · (713) 942-9026
Phone(713) 942-9026
Fax(713) 523-5043
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 5, 2017
✔ NPI 1366461881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 09973
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.
1823 WAUGH DR, Houston, TX 77006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Donna Marie Tomlinson Msw 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 ID5193002897
PECOS Enrollment IDI20170719003924
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
129 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77006 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 Donna Tomlinson's NPI number?

The NPI number for Donna Tomlinson is 1366461881. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Donna Tomlinson located?

Donna Tomlinson practices at 1823 Waugh Dr, Houston, TX 77006. The listed phone number is (713) 942-9026.

What is Donna Tomlinson's specialty?

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

Is Donna Tomlinson enrolled in Medicare?

Yes. Donna Tomlinson 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.

What insurance does Donna Tomlinson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Donna Tomlinson 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 Donna Tomlinson was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.