MRS. LISA MICHELLE LASSEN (LCSW) – Clinical Social Worker, NPI 1003389099

MRS. LISA MICHELLE LASSEN (LCSW) is a healthcare provider. based in San antonio, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 62512 (TX). The NPI Number for MRS. LISA MICHELLE LASSEN (LCSW) is 1003389099

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA MICHELLE LASSEN (LCSW)
NPI
1003389099
Phone
(210) 614-8400
Address
4242 MEDICAL DR STE 6300
Enumeration Date
2 January 2019
Last Update Date
2 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448248775
Graduation Year
2016 (10 years ago)
PAC ID
9739426628
Group Practice PAC ID
4486794906
Professional Enrollment ID
I20190131000303
Address ID
TX782295372SA4242XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for MRS. LISA MICHELLE LASSEN (LCSW)

  • 4242 MEDICAL DR STE 6300

    SAN ANTONIO, TX 782295372

    Phone: (210) 614-8400

    Fax: (210) 614-8165

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190131000303IClinical Social WorkerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486794906View full group profile
NameSpecialtyState
P S Y C H I A T R YNY
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Clinical PsychologistTX
Nurse PractitionerMO
Nurse PractitionerTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

Does MRS. LISA MICHELLE LASSEN (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. LISA MICHELLE LASSEN (LCSW) uses 1003389099.
Does CMS list MRS. LISA MICHELLE LASSEN (LCSW) as active?
Yes — MRS. LISA MICHELLE LASSEN (LCSW) is active in the NPI listing used on this page.
What is MRS. LISA MICHELLE LASSEN (LCSW) best known for clinically?
Directory data describes MRS. LISA MICHELLE LASSEN (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. LISA MICHELLE LASSEN (LCSW)?
MRS. LISA MICHELLE LASSEN (LCSW)'s geographic hint is San Antonio, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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