Active NPI
Lisa Michelle Lassen, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1003389099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62512
- Practice address
- 4242 Medical Dr Ste 6300
San Antonio, TX 78229-5372 - Phone
- (210) 614-8400
- Fax
- (210) 614-8165
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62512 | TX | Primary |
Addresses
Primary practice location
4242 Medical Dr Ste 6300
San Antonio, TX 78229-5372
Mailing address
4242 Medical Dr Ste 6300
San Antonio, TX 78229-5372
Phone (210) 614-8400
Other names 1
- Lisa Michelle Castillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4242 Medical Dr
San Antonio, TX 78229-5329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
Locations
4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400
Networks
- NM HMO C-SNP
- TX HMO
- TX HMO D-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1003389099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 MEDICAL DR STE 6300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295372",
"telephone_number": "210-614-8400",
"fax_number": "210-614-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 MEDICAL DR STE 6300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295372",
"telephone_number": "210-614-8400",
"fax_number": "210-614-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSEN",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "CASTILLO",
"middle_name": "MICHELLE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.