Individual provider Active NPI

Lisa Barrie Layne, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1083805840
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19664 Issued in TX
Practice address
16442 Shady Elms Dr
Houston, TX 77059-5324
Phone
(281) 415-1613
Fax
(281) 415-1613
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19664 TX Primary

Addresses

Primary practice location

16442 Shady Elms Dr
Houston, TX 77059-5324

Mailing address

1120 Nasa Pkwy Ste 640
Houston, TX 77058-2818
Phone (713) 360-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000064 TX Practitioner - Clinical Social Worker 7719075928 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1120 Nasa Pkwy
Houston, TX 77058-3365
Phone (713) 429-5136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19664TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Psychology Associates, PC CurrentSince Nov 30, 2015 Accepting new patients
Bay Area Psychiatry Group PLLC PastSince May 26, 2024 Accepting new patients

Locations

1002 Gemini St
Ste 205
Houston, TX 77058
Phone (281) 218-8181

Organizations & group practices 2

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1083805840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY STE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582818",
            "telephone_number": "713-360-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16442 SHADY ELMS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595324",
            "telephone_number": "281-415-1613",
            "fax_number": "281-415-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "LISA",
        "middle_name": "BARRIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "19664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.