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 is a Clinical Social Worker 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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