Individual provider Active NPI

Tierney Sinead Lancaster, LCSW

  • Clinical Social Worker
  • Humble, TX
National Provider Identifier
1144231192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16445 Issued in TX
Practice address
1016 N Houston Ave Ste a
Humble, TX 77338-3774
Phone
(713) 268-6734
Fax
(281) 540-1810
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16445 TX Primary

Addresses

Primary practice location

1016 N Houston Ave Ste a
Humble, TX 77338-3774

Mailing address

1016 N Houston Ave Ste a
Humble, TX 77338-3774
Phone (713) 268-6734

Other identifiers 1

IdentifierTypeStateIssuer
S65SOtherBCBS/MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16445TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144231192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N HOUSTON AVE STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383774",
            "telephone_number": "713-268-6734",
            "fax_number": "281-540-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N HOUSTON AVE STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383774",
            "telephone_number": "713-268-6734",
            "fax_number": "281-540-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "TIERNEY",
        "middle_name": "SINEAD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/MEDICARE",
            "identifier": "S65S",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.