Individual provider Active NPI

Ericka Lebron, LCSW, LCDC

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1992493639
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68227 Issued in TX
Practice address
11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone
(469) 200-4093
Fax
(469) 200-4079
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 68227 TX Primary

Addresses

Primary practice location

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348

Mailing address

1495 Royal Oaks Dr
Frisco, TX 75036-7727
Phone (469) 531-9907

Other practice location 1

11500 State Highway 121 Ste 930
Frisco, TX 75035-9347
Phone (469) 200-4093

Other practice location 2

1495 Royal Oaks Dr
Frisco, TX 75036-7727
Phone (469) 531-9907

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
I20230906003773 TX Practitioner - Clinical Social Worker 0840654067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nazimuddin Mohammed MD PAGroup PAC ID 4284995051, 37 clinicians

Practice addresses (Care Compare)

11500 State Hwy 121
Suite 510
Frisco, TX 75035-9348
Phone (469) 200-4093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68227TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nazimuddin Mohammed MD PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

525 Shiloh Rd
Ste 1400
Plano, TX 75074
Phone (469) 200-4093

281 W Southlake Blvd
Southlake, TX 76092
Phone (469) 200-4093

281 W Southlake Blvd
Bldg 10
Southlake, TX 76092
Phone (469) 200-4093

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1992493639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 ROYAL OAKS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367727",
            "telephone_number": "469-531-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359348",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 State Highway 121 Ste 930",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750359347",
            "country_code": "US",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 Royal Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750367727",
            "country_code": "US",
            "telephone_number": "469-531-9907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "ERICKA",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.