Provider Demographics
NPI:1144231192
Name:LANCASTER, TIERNEY SINEAD (LCSW)
Entity Type:Individual
Prefix:
First Name:TIERNEY
Middle Name:SINEAD
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 N HOUSTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3774
Mailing Address - Country:US
Mailing Address - Phone:713-268-6734
Mailing Address - Fax:281-540-1810
Practice Address - Street 1:1016 N HOUSTON AVE STE A
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3774
Practice Address - Country:US
Practice Address - Phone:713-268-6734
Practice Address - Fax:281-540-1810
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S65SOtherBCBS/MEDICARE