Lakettra Shnell Priestly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40548 Issued in TX

Practice address

1300 Dacy LN
Ste 235
Kyle, TX 78640-4196

Phone

(512) 262-6020

Fax

(512) 318-2491

NPI assigned

Jul 24, 2008

Last updated

Mar 6, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Family Guidance PLLC

  • Clinical Social Worker
  • Kyle, TX
  • NPI 1669847505
  Authorized official Same address or phone

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1922263359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WILD PECAN LOOP",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786102573",
            "telephone_number": "512-644-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DACY LN",
            "address_2": "STE 235",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404196",
            "telephone_number": "512-262-6020",
            "fax_number": "512-318-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTLY",
        "first_name": "LAKETTRA",
        "middle_name": "SHNELL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2024-03-06",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb James Powell
• Kristin Powers, M.S., CCC-SLP
• Wesley Powers
• David Pozuc
• Tiphany Price, RN, BSN, ACNP-BC
• Pro Nursing Supplies LLC (Pro Nursing Supplies)
• Carolina Judith Pro
• Alejandra Maria Prusaitis, LMT, CD
• Griselda E Pulido, FNP
• David I. Pytowski, D.P.M.

• Clinical Social Worker in Kyle, TX
• Providers in Kyle, 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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.