Individual provider Active NPI

Adewale Larry Lawal, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1629048863
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S10779 Issued in TX
Practice address
1214 N Post Oak Rd Ste 100
Houston, TX 77055-7236
Phone
(713) 686-9194
Fax
(713) 686-9413
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S10779 TX Primary

Addresses

Primary practice location

1214 N Post Oak Rd Ste 100
Houston, TX 77055-7236

Mailing address

101 Feu Follet Rd Ste 100
Lafayette, LA 70508-4234
Phone (713) 686-9194

Other practice location 1

4131 Spicewood Springs Rd Ste J1
Austin, TX 78759-8600
Phone (713) 686-9194

Other practice location 2

2012 NW Military Hwy Ste 100
San Antonio, TX 78213-2130
Phone (713) 686-9194

Other identifiers 2

IdentifierTypeStateIssuer
038907402MedicaidTX
1629048863MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10779TXMDMental Health Counselor
S10779TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deblin Health Concepts & Associates, LLC Clinical CurrentSince Oct 24, 2011 Accepting new patients

Locations

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

4131 Spicewood Springs Rd
Ste J1
Austin, TX 78759
Phone 7136869194 ext. 69194

4131 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 342-8689

816 Evergreen Dr
Houston, TX 77023

7787 Pinemont Dr
Ste B
Houston, TX 77040
Phone (713) 730-2335

1214 N Post Oak Rd
Ste 100
Houston, TX 77055
Phone (713) 681-9100

4411 Dacoma St
Houston, TX 77092
Phone (281) 674-7145

2012 NW Military Hwy
Ste 100
San Antonio, TX 78213

Organizations & group practices 1

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1629048863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FEU FOLLET RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084234",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N POST OAK RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557236",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 Spicewood Springs Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2012 NW Military Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132130",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWAL",
        "first_name": "ADEWALE",
        "middle_name": "LARRY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S10779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038907402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629048863",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.