Provider Demographics
NPI:1225132400
Name:HOUSEWORTH, STEVEN L (PHD, LMFT, LBSW)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:HOUSEWORTH
Suffix:
Gender:M
Credentials:PHD, LMFT, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5726 SAGAMORE BAY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469
Mailing Address - Country:US
Mailing Address - Phone:832-248-4636
Mailing Address - Fax:866-804-7241
Practice Address - Street 1:627 W 19TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:832-248-4636
Practice Address - Fax:866-804-7241
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLBSW#S31626104100000X
171M00000X
TXLMFT#5210106H00000X, 106H00000X
TX5210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1732695-07Medicaid
TX173269502Medicaid
TX1732695-07Medicaid