KERRISHA J AVIE (LCSW) – Clinical Social Worker, NPI 1083591200

KERRISHA J AVIE (LCSW) is a healthcare provider. based in Missouri city, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 106982 (TX). The NPI Number for KERRISHA J AVIE (LCSW) is 1083591200

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KERRISHA J AVIE (LCSW)
NPI
1083591200
Phone
Not provided
Address
2903 OAK POINTE BLVD
Enumeration Date
19 August 2025
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448248775
Graduation Year
2020 (6 years ago)
PAC ID
8921501040
Group Practice PAC ID
4486794906
Professional Enrollment ID
I20250912003058
Address ID
TX774697118RI22001FWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,590 CLINICAL SOCIAL WORKER in TX

Provider Addresses for KERRISHA J AVIE (LCSW)

  • 2903 OAK POINTE BLVD

    MISSOURI CITY, TX 774594671

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250912003058IClinical Social WorkerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486794906View full group profile
NameSpecialtyState
Clinical Social WorkerTX
P S Y C H I A T R YNY
Clinical Social WorkerTX
Mental Health CounselorTX
Nurse PractitionerMD
Nurse PractitionerTX
P S Y C H I A T R YTX
Clinical Social WorkerFL
Clinical PsychologistTX
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to KERRISHA J AVIE (LCSW)?
NPI 1083591200 is assigned to KERRISHA J AVIE (LCSW) under the national enumeration system.
Is KERRISHA J AVIE (LCSW)'s NPI currently valid?
The extract we use shows KERRISHA J AVIE (LCSW) as active.
Does KERRISHA J AVIE (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for KERRISHA J AVIE (LCSW). Clinical services aligned with this taxonomy classification.
Where is KERRISHA J AVIE (LCSW)'s primary listing?
We display Missouri City, Texas because that is what the record indicates for KERRISHA J AVIE (LCSW).
How can I contact KERRISHA J AVIE (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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