Active NPI
Lisette A Theriot, LCSW
- Clinical Social Worker
- Bellaire, TX
National Provider Identifier
1669744462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 57052
- Practice address
- 5959 West Loop South
# 600 Hauser Clinic
Bellaire, TX 77401 - Phone
- (832) 499-4517
- NPI assigned
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 57052 | TX | |
| Clinical Social Worker | 1041C0700X | 57052 | TX | Primary |
Addresses
Primary practice location
5959 West Loop South
# 600 Hauser Clinic
Bellaire, TX 77401
Mailing address
5959 West Loop South
# 600 Hauser Clinic
Bellaire, TX 77401
Phone (832) 499-4517
Other practice location 1
440 Louisiana St Ste 803
Houston, TX 77002-1639
Phone (832) 499-4517
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Medicaid | TX | |
| 193400000X | Medicaid | TX | |
| 193200000X | Medicaid | TX |
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 |
|---|---|---|---|
| 57052 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1669744462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 WEST LOOP SOUTH",
"address_2": "# 600 HAUSER CLINIC",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "77401",
"telephone_number": "832-499-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 WEST LOOP SOUTH",
"address_2": "# 600 HAUSER CLINIC",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "77401",
"telephone_number": "832-499-4517"
}
],
"practiceLocations": [
{
"address_1": "440 Louisiana St Ste 803",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770021639",
"country_code": "US",
"telephone_number": "832-499-4517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THERIOT",
"first_name": "LISETTE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2024-10-28",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "57052",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193400000X",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193200000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.