Individual provider Active NPI

Tristesse Lazandria Casimier, LCSW

  • Clinical Social Worker
  • Tomball, TX
National Provider Identifier
1821439571
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114096 Issued in CA
Practice address
20818 Mystical Legend Dr
Tomball, TX 77375-0054
Phone
(832) 987-3918
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 56661 TX
Clinical Social Worker 1041C0700X 114096 CA Primary

Addresses

Primary practice location

20818 Mystical Legend Dr
Tomball, TX 77375-0054

Mailing address

6046 FM 2920 Rd Ste 129
Spring, TX 77379-2542
Phone (832) 987-3918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, TX, DC, WA, CA, CO, LA, MA, NY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20230810001734 MI Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20230821000364 FL Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20230823003341 TX Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20230824003482 DC Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 2 organizations
I20231128002056 WA Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20240328002595 CA Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20240924004716 CO Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20250326003479 LA Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20251125004009 MA Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization
I20251125004318 NY Practitioner - Clinical Social Worker 4880056670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56661TXMDSocial Worker
15695LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Silos in Medicine LLC CurrentSince Jun 23, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Feb 24, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 11, 2023 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

2478 Alabama Ave SE
Washington, DC 20020
Phone (202) 816-9448

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 3

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1821439571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 FM 2920 RD STE 129",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792542",
            "telephone_number": "832-987-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 MYSTICAL LEGEND DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773750054",
            "telephone_number": "832-987-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIER",
        "first_name": "TRISTESSE",
        "middle_name": "LAZANDRIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "56661",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.