Lisa Willbanks-Larriviere, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17604 Issued in TX

Practice address

2225 County Road 90
Suite 201-D
Pearland, TX 77584-5133

Phone

(832) 754-1134

Fax

(281) 485-9419

NPI assigned

Nov 1, 2006

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

Other identifiers 2

Other names 1

• Mrs. Lisa Lenoir Willbanks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1811074891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 BROADWAY ST",
            "address_2": "STE 202, BOX 10",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815772",
            "telephone_number": "832-754-1134",
            "fax_number": "281-485-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 COUNTY ROAD 90",
            "address_2": "SUITE 201-D",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845133",
            "telephone_number": "832-754-1134",
            "fax_number": "281-485-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLBANKS-LARRIVIERE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071349702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071349701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WILLBANKS",
            "middle_name": "LENOIR",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marquetta Whittaker
• Whitwar Drug, LLC
• Matthew Wilber, M.D.
• Sarah Wilkins
• Carson Will
• Vivian Williams-Davis
• Alaya Williams
• Andrea Lenette Williams, D.D.S.
• Antwan Williams
• Catherine Williams, PMHNP

• Clinical Social Worker in Pearland, TX
• Providers in Pearland, 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 Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.