Individual provider Active NPI

Lakeisha Brown, LCSW

  • Clinical Social Worker
  • Bastrop, TX
National Provider Identifier
1144651399
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53979 Issued in TX
Practice address
150 Settlement Dr Ste E
Bastrop, TX 78602-9662
Phone
(512) 549-3698
Fax
(855) 254-7417
NPI assigned
Dec 12, 2013
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 53979 TX Primary

Addresses

Primary practice location

150 Settlement Dr Ste E
Bastrop, TX 78602-9662

Mailing address

150 Settlement Dr Ste E
Bastrop, TX 78602-9662
Phone (512) 549-3698

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
I20190816001111 TX Practitioner - Clinical Social Worker 0446587208 Reassigns benefits to 2 organizations
Practice locations: Bastrop, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Loop 150
Bastrop, TX 78602-3755
Phone (512) 549-3698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pariah Ventures Group LLC Current Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Jul 22, 2019 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Oct 8, 2019 Accepting new patients
Bluebonnet Trails Community MHMR Center Social Worker CurrentSince Oct 8, 2019 Accepting new patients
Guiding Hearts Counseling PLLC CurrentSince Jan 3, 2021 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

150 Settlement Dr
Ste E
Bastrop, TX 78602
Phone (512) 303-3963

1400 N Main St
Giddings, TX 78942
Phone (979) 542-1755

120 State Loop 92
La Grange, TX 78945
Phone (979) 968-3144

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1144651399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SETTLEMENT DR STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786029662",
            "telephone_number": "512-549-3698",
            "fax_number": "855-254-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SETTLEMENT DR STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786029662",
            "telephone_number": "512-549-3698",
            "fax_number": "855-254-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAKEISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.