Lola Lewis Sirles

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58676 Issued in TX

Practice address

700 S Palestine St
Athens, TX 75751-3342

Phone

(903) 657-9570

Fax

(903) 657-9577

NPI assigned

Dec 6, 2024

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Counseling Center Inc

  • Clinical Social Worker
  • Athens, TX
  • NPI 1285946343
  NPD (past)
• East Texas Psychological Services, PLLC

  • Clinical Psychologist
  • Athens, TX
  • NPI 1093029951
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1003622838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2536",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757517536",
            "telephone_number": "903-675-9570",
            "fax_number": "903-675-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513342",
            "telephone_number": "903-657-9570",
            "fax_number": "903-657-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRLES",
        "first_name": "LOLA",
        "middle_name": "LEWIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halsey Taylor Shults, PHARMD, RPH
• Amy Jo Shuptrine, MSN, APRN, FNP-BC
• Tifani Poskey Shuttlesworth, D.D.S.
• Tyler Scott Simpson
• Briana Jan Singleton, M.S.,CCC/SLP
• Grant Steven Sisson, LPC
• Sleep Right
• Sleep Right
• Dirje Andrea Smith, MS, NCC, LPC
• John Barrett Smith, LCSW

• Clinical Social Worker in Athens, TX
• Providers in Athens, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.