Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Extending Creative Minds

Organization Clinical Social Worker · NPI 1417301763

Extending Creative Minds provides Clinical Social Worker services in Houston, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
5

Practice location Address checks out

10311 Homestead Rd
Houston, TX 77016-3305
Phone: (832) 506-8121
Fax: (832) 717-2781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 57323 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 08693 (TX)
Psychiatric Pharmacist Taxonomy 1835P1300X · Licence 33415 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence K8989 (TX)

Record details

NPI number1417301763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakisha Dickerson — Chief Executive Officer · (832) 506-8121
NPI enumeratedApril 22, 2016
Last updated in NPPESMay 30, 2017
Mailing address10311 Homestead Rd, Houston, TX 77016-3305

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