Individual provider Active NPI

Lisa V Cano, LCSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1972524379
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34923 Issued in TX
Practice address
1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492
Phone
(713) 806-5675
NPI assigned
Jul 21, 2006
Last updated
Oct 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34923 TX Primary

Addresses

Primary practice location

1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492

Mailing address

1416 Stonehollow Dr Ste B
Kingwood, TX 77339-2492
Phone (713) 806-5675

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040227000422 TX Practitioner - Clinical Social Worker 3678469392 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1416 Stonehollow Dr
Suite B
Kingwood, TX 77339-2492
Phone (713) 806-5675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34923TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy Center, LLC Clinical CurrentSince Jan 14, 2024 Accepting new patients

Locations

1416 Stonehollow Dr
Ste B
Kingwood, TX 77339
Phone (713) 440-8513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1972524379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 STONEHOLLOW DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392492",
            "telephone_number": "713-806-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 STONEHOLLOW DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392492",
            "telephone_number": "713-806-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "LISA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.