Lauren Marie Ivy Sieja, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59857 Issued in TX

Practice address

518 E Hospital St
Nacogdoches, TX 75961-5239

Phone

(936) 645-1090

NPI assigned

Jun 3, 2021

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgetown Psychotherapy, PLLCGroup PAC ID 2466589411, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Georgetown Psychotherapy, PLLC

  • Clinical Psychologist
  • Nacogdoches, TX
  • NPI 1225351794

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1629645155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MR HENRYS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652646",
            "telephone_number": "936-645-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E HOSPITAL ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615239",
            "telephone_number": "936-645-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY SIEJA",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Pain Management, PA
• Inurse Lab Services LLC
• McKylie Paige Irons
• Itasca Healing Medical Practice
• Nena R. Ivey, PA-C
• James R. Young MD
• Jason'S DME
• Tori Alayne Jeans
• Jeff D Miller LLC
• Maria Jenkins

• Clinical Social Worker in Nacogdoches, TX
• Providers in Nacogdoches, 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 Jun 3, 2021; 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.