Active NPI
Lisa Leong, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1275296220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60318
- Practice address
- 3925 Law St
Houston, TX 77005-1125 - Phone
- (646) 678-1900
- NPI assigned
- Oct 18, 2021
- Last updated
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60318 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 23744 | ME | |
| Clinical Social Worker | 1041C0700X | 6801118571 | MI | |
| Clinical Social Worker | 1041C0700X | 22269 | AZ | |
| Clinical Social Worker | 1041C0700X | 0904016960 | VA | |
| Clinical Social Worker | 1041C0700X | 44SC06359100 | NJ | |
| Clinical Social Worker | 1041C0700X | 21029 | OK | |
| Clinical Social Worker | 1041C0700X | 14033132-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 61571465 | WA | |
| Clinical Social Worker | 1041C0700X | 2405509 | OH | |
| Clinical Social Worker | 1041C0700X | 23104 | FL | |
| Clinical Social Worker | 1041C0700X | 15218 | OR | |
| Clinical Social Worker | 1041C0700X | 027568 | IL | |
| Clinical Social Worker | 1041C0700X | 11775-123 | WI | |
| Clinical Social Worker | 1041C0700X | 11702-C | NV |
Addresses
Primary practice location
3925 Law St
Houston, TX 77005-1125
Mailing address
3925 Law St
Houston, TX 77005-1125
Phone (646) 678-1900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22269 | AZ | MD | Clinical Social Worker |
| 23104 | FL | MD | Clinical Social Worker |
| 027568 | IL | MD | Clinical Social Worker |
| 23744 | ME | MD | Clinical Social Worker |
| 6801118571 | MI | MD | Clinical Social Worker |
| 44SC06359100 | NJ | MD | Clinical Social Worker |
| 11702-C | NV | MD | Clinical Social Worker |
| 2405509 | OH | MD | Clinical Social Worker |
| 15218 | OR | MD | Clinical Social Worker |
| 60318 | TX | MD | Clinical Social Worker |
| 14033132-3501 | UT | MD | Clinical Social Worker |
| 0904016960 | VA | MD | Clinical Social Worker |
| 61571465 | WA | MD | Clinical Social Worker |
| 11775-123 | WI | MD | Clinical Social Worker |
| 21029 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1275296220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 LAW ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051125",
"telephone_number": "646-678-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 LAW ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051125",
"telephone_number": "646-678-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "60318",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "23744",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801118571",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "22269",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904016960",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06359100",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "21029",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14033132-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "61571465",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "2405509",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "23104",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "15218",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "027568",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11775-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "11702-C",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.