Individual provider Active NPI

Lynsay Erin Gaines, LCSW

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1619491701
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41007 Issued in TX
Practice address
6426 Canyon Chase Dr
Richmond, TX 77469-6133
Phone
(832) 512-7829
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 41007 TX Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

6426 Canyon Chase Dr
Richmond, TX 77469-6133

Mailing address

6426 Canyon Chase Dr
Richmond, TX 77469-6133
Phone (832) 512-7829

Other practice location 1

1775 Saint James Pl Ste 325
Houston, TX 77056-3416
Phone (832) 780-3497

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190218001281 TX Practitioner - Clinical Social Worker 1052659034 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adjuvant Behavioral Health IncGroup PAC ID 2860865557, 15 clinicians

Practice addresses (Care Compare)

11754 Jollyville Rd
Suite 110
Austin, TX 78759-3948
Phone (800) 960-8633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adjuvant Behavioral Health Inc Clinical CurrentSince May 17, 2023 Accepting new patients
Supportive Care LLC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Adjuvant Behavioral Health Inc Single Specialty CurrentSince May 17, 2023 Accepting new patients
Bellaire Ellie Clinic PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Ut Physicians CurrentSince Feb 6, 2019 Accepting new patients
Ut Physicians Single Specialty CurrentSince Feb 6, 2019 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

11754 Jollyville Rd
Ste 110
Austin, TX 78759
Phone (512) 331-2700

6300 West Loop S
Ste 110
Bellaire, TX 77401
Phone (832) 924-0348

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1775 Saint James Pl
Ste 325
Houston, TX 77056
Phone (832) 266-7007

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

501 Yates St
Mt Vernon, TX 75457
Phone (903) 537-4424

5115 Avenue H
Ste 701
Rosenberg, TX 77471
Phone (713) 486-1950

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1619491701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 CANYON CHASE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774696133",
            "telephone_number": "832-512-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 CANYON CHASE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774696133",
            "telephone_number": "832-512-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Saint James Pl Ste 325",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770563416",
            "country_code": "US",
            "telephone_number": "832-780-3497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "LYNSAY",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41007",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.