Carissa Keyan Lazaro Chang, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66775 Issued in TX

Practice address

17515 Hollyberry LN
Sugar Land, TX 77479-3095

Phone

(832) 866-5595

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Audhd Practice PLLC

  • Clinical Social Worker
  • Sugar Land, TX
  • NPI 1366319576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1396027900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 HOLLYBERRY LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793095",
            "telephone_number": "832-866-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 HOLLYBERRY LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793095",
            "telephone_number": "832-866-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO CHANG",
        "first_name": "CARISSA",
        "middle_name": "KEYAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Lavrack
• Odunmorayo Lawal, MD
• Glory Lawson
• Laxa, Inc
• Jeanette Layfield, M.A., CCC-SLP
• LBN Harrison Campbell DC LLC
• LC Dental PC
• LDR Services LLC
• Aitam Teresa Le, DC
• Christine Tien Le, AUD

• Clinical Social Worker in Sugar Land, TX
• Providers in Sugar Land, 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 Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.