Active NPI
Michaelan Ledger, LCSW, LCDC
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1760255301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31548
- Practice address
- 16502 N Meadow Dr
Houston, TX 77073 - Phone
- (713) 893-3989
- Fax
- (888) 502-1506
- NPI assigned
- Nov 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31548 | TX | Primary |
Addresses
Primary practice location
16502 N Meadow Dr
Houston, TX 77073
Mailing address
8000 Research Forest Dr
Suite 115 PMB 1168
The Woodlands, TX 77382
Phone (713) 893-3989
Other names 1
- Michaelan Carlisle
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 |
|---|---|---|---|
| 31548 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1760255301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 RESEARCH FOREST DR",
"address_2": "SUITE 115 PMB 1168",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77382",
"telephone_number": "713-893-3989",
"fax_number": "888-502-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16502 N MEADOW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77073",
"telephone_number": "713-893-3989",
"fax_number": "888-502-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDGER",
"first_name": "MICHAELAN",
"credential": "LCSW, LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "31548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAELAN",
"last_name": "CARLISLE",
"credential": "LCSW, LCDC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.