Active NPI
Nicole George, LCSW
- Clinical Social Worker
- Lubbock, TX
National Provider Identifier
1831028299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111119
- Practice address
- 4412 74TH St Ste F100
Lubbock, TX 79424-2316 - Phone
- (210) 858-5898
- NPI assigned
- May 13, 2026
- 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 | 111119 | TX | Primary |
Addresses
Primary practice location
4412 74TH St Ste F100
Lubbock, TX 79424-2316
Mailing address
4703 113TH St
Lubbock, TX 79424-7374
Phone (806) 392-6177
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 |
|---|---|---|---|
| 111119 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Place, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1831028299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 113TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794247374",
"telephone_number": "806-392-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 74TH ST STE F100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242316",
"telephone_number": "210-858-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "111119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.