Terri Kay Lively, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30979 Issued in TX

Practice address

10707 Corporate Dr
Suite 150
Stafford, TX 77477-4095

Phone

(281) 494-9100

Fax

(281) 494-9115

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568511442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 CORPORATE DR",
            "address_2": "SUITE 150",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774095",
            "telephone_number": "281-494-9100",
            "fax_number": "281-494-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 CORPORATE DR",
            "address_2": "SUITE 150",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774095",
            "telephone_number": "281-494-9100",
            "fax_number": "281-494-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "TERRI",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Rosanna Linney, LVN
• Anna Lintner
• Sydney Liow
• Mary Katherine Lira
• Livegood at Home Care Services LLC (Livegood at Home)
• Carolyn Ann Lockhart, LVN
• Patricia Elizabeth Loewenstein, RN
• Oludolapo A Lofinmakin, FNP-C, PMHNP-BC
• Thomas M Lomonte, D.D.S.
• Lonestar Meditex

• Clinical Social Worker in Stafford, TX
• Providers in Stafford, 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 Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.