Kathleen Dianne Lively, LMSW-AP, LCPPA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

34234 Issued in TX

Practice address

1112 E Copeland Rd
Suite 310
Arlington, TX 76011-4910

Phone

(817) 522-5052

Fax

(817) 277-5610

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Behavioral Healthcare Services, Inc.

  • Behavior Analyst
  • Grand Prairie, TX
  • NPI 1033142781
  NPD (past)
• Behavioral Healthcare Services, Inc.

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1255780037
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1407221633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E COPELAND RD",
            "address_2": "SUITE 310",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114910",
            "telephone_number": "817-522-5052",
            "fax_number": "817-277-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E COPELAND RD",
            "address_2": "SUITE 310",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114910",
            "telephone_number": "817-522-5052",
            "fax_number": "817-277-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "KATHLEEN",
        "middle_name": "DIANNE",
        "credential": "LMSW-AP, LCPPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "34234",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "D03635A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Road Medical Center
• Jackson Vaughan Littlejohn, MD
• Tamla Littleton
• Cam Liu, RN, BSN
• Gwo Bin Liu, O.D.
• Allison Liverance
• Living on Purpose Counseling and Consultation Services PLLC
• Living Water Care
• Livingwell Business Group Inc
• Livingwell Home Health Agency Inc.

• Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.