Raymond C Lisauckis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S03283 Issued in TX

Practice address

4800 Memorial Dr
VA Medical Center (124-Vist-W)
Waco, TX 76711-1329

Phone

(254) 297-3123

Fax

(243) 297-5387

NPI assigned

Jul 22, 2005

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1255331013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EVERGREEN LN",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288410",
            "telephone_number": "817-295-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEMORIAL DR",
            "address_2": "VA MEDICAL CENTER (124-VIST-W)",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111329",
            "telephone_number": "254-297-3123",
            "fax_number": "243-297-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISAUCKIS",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "03283",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "03283",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "03283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S03283",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "03283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindon Endsley DDS (SE Smile By Design)
• Samuel Lindquist, MD
• Lindsey Kidd Counseling PLLC (Committed to Clarity Counseling)
• Isaac James Lippe, M.D.
• Kendall Catherine Lisa
• Shana Leigh Lisenbe, MOTR
• Molly Margaret Little, FNP-C
• Steven L Little, DDS
• Jessica Littlefield, M.S., CCC-SLP
• Allyson Littrell

• Clinical Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.