Individual provider Active NPI

Kristi Ann Lemmert, LCSW

  • Clinical Social Worker
  • Tyler, TX
National Provider Identifier
1104293760
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38130 Issued in TX
Practice address
18118 County Road 4202
Tyler, TX 75704-2424
Phone
(903) 279-2981
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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 38130 TX Primary

Addresses

Primary practice location

18118 County Road 4202
Tyler, TX 75704-2424

Mailing address

18118 County Road 4202
Tyler, TX 75704-2424
Phone (903) 279-2981

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
I20241115004103 TX Practitioner - Clinical Social Worker 8022426931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38130TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC Clinical CurrentSince Nov 4, 2024 Accepting new patients
Tyler Family Circle of Care PastSince Dec 23, 2020 Accepting new patients

Locations

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

3001 S Houston St
Kaufman, TX 75142
Phone (972) 932-2118

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1104293760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18118 COUNTY ROAD 4202",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757042424",
            "telephone_number": "903-279-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18118 COUNTY ROAD 4202",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757042424",
            "telephone_number": "903-279-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMERT",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.