Individual provider Active NPI

Lisa Sue Whipple, LCSW

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1093820987
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S23830 Issued in TX
Practice address
2116 Thompson Rd Ste 102
Richmond, TX 77469-5415
Phone
(281) 730-9733
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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 S23830 TX Primary

Addresses

Primary practice location

2116 Thompson Rd Ste 102
Richmond, TX 77469-5415

Mailing address

3507 Dancing Daisy LN
Richmond, TX 77406-1750
Phone (281) 730-9733

Other practice location 1

2002 Holcombe Blvd
Houston, TX 77030-4211
Phone (713) 794-7951

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S23830TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa S Whipple Counseling CurrentSince Nov 13, 2020 Accepting new patients

Locations

2116 Thompson Rd
Ste 102
Richmond, TX 77469
Phone (281) 250-6650

5614 W Grand Pkwy S
Ste 1021007
Richmond, TX 77406
Phone (281) 730-9733

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1093820987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 DANCING DAISY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061750",
            "telephone_number": "281-730-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 THOMPSON RD STE 102",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695415",
            "telephone_number": "281-730-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304211",
            "country_code": "US",
            "telephone_number": "713-794-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "LISA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S23830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.