Active NPI
Nan Lefforge, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1497982409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3554
- Practice address
- 4550 Post Oak Place Dr
Suite 352
Houston, TX 77027-3165 - Phone
- (713) 840-0333
- Fax
- (713) 840-0188
- NPI assigned
- Jun 17, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 01639 | TX | |
| Psychoanalyst | 102L00000X | |||
| Clinical Social Worker | 1041C0700X | 3554 | TX | Primary |
Addresses
Primary practice location
4550 Post Oak Place Dr
Suite 352
Houston, TX 77027-3165
Mailing address
4550 Post Oak Place Dr
Suite 352
Houston, TX 77027-3165
Phone (713) 840-0333
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 |
|---|---|---|---|
| 01639 | TX | MD | Professional Counselor |
| 3554 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1497982409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 POST OAK PLACE DR",
"address_2": "SUITE 352",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273165",
"telephone_number": "713-840-0333",
"fax_number": "713-840-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 POST OAK PLACE DR",
"address_2": "SUITE 352",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273165",
"telephone_number": "713-840-0333",
"fax_number": "713-840-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFFORGE",
"first_name": "NAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "01639",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "3554",
"primary": true
}
],
"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 Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.