Active NPI
Dezaree' La' Destiny Lusk, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1447754148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62594
- Practice address
- 8950 Westpark Dr Ste 118
Houston, TX 77063-5502 - Phone
- (469) 499-6200
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62594 | TX | Primary |
| Prosthetics Case Management | 1744P3200X | 1449535 | TX |
Addresses
Primary practice location
8950 Westpark Dr Ste 118
Houston, TX 77063-5502
Mailing address
905 Macaw Way
Desoto, TX 75115-7210
Phone (469) 499-6200
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 |
|---|---|---|---|
| 1449535 | TX | MD | Prosthetics Case Management |
| 62594 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Beauty Bar, LLC | Prosthetics Case Management | Current | Accepting new patients |
| Z.E. Freight Dispatch Services and Operations, LLC | Current | Accepting new patients | |
| A Divine Connection Child Placing Agency, LLC | Current | Accepting new patients |
Locations
4201 Cypress Creek Pkwy
Ste 322
Houston, TX 77068
Phone (469) 499-6200
8950 Westpark Dr
Ste 118
Houston, TX 77063
Phone (469) 499-6200
Organizations & group practices 3
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.
-
- Foster Care Agency
- Desoto, TX
- NPI 1689334906
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1902399942
Prosthetics Case Management
-
- Secured Medical Transport (VAN)
- Desoto, TX
- NPI 1386304723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620432000000",
"number": "1447754148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 MACAW WAY",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157210",
"telephone_number": "469-499-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 WESTPARK DR STE 118",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635502",
"telephone_number": "469-499-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSK",
"first_name": "DEZAREE'",
"middle_name": "LA' DESTINY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2021-05-08",
"certification_date": "2021-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62594",
"primary": true
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "1449535",
"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 May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.