Provider Demographics
NPI:1821439571
Name:CASIMIER, TRISTESSE LAZANDRIA (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:TRISTESSE
Middle Name:LAZANDRIA
Last Name:CASIMIER
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 1:6046 FM 2920 RD STE 129
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2542
Mailing Address - Country:US
Mailing Address - Phone:832-987-3918
Mailing Address - Fax:
Practice Address - Street 1:20818 MYSTICAL LEGEND DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-0054
Practice Address - Country:US
Practice Address - Phone:832-987-3918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56661104100000X
CA1140961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker