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MS. LOIS L RILEY L.C.S.W.
NPI 1295812618
Social Worker - Clinical in New Braunfels, TX

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
92.18/100
CMS Quality Rating
427 LAKESIDE PASS, NEW BRAUNFELS, TX 78130(830) 608-4494 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lois L Riley L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LOIS L RILEY L.C.S.W. (NPI 1295812618) is an individual clinical provider in New Braunfels, Texas, licensed in Texas (33610) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1295812618
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LOIS L RILEYCredential: L.C.S.W.
Location Address427 LAKESIDE PASSNew Braunfels, TX 78130-8273
Mailing Address427 Lakeside PassNew Braunfels, TX 78130-8273 · (830) 608-4494
Phone(830) 608-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1295812618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 33610
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
427 LAKESIDE PASS, New Braunfels, TX 78130
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Other Identifiers 3

Medicaid071337203TX
Medicare ID-Type Unspecified8D0791TX
Medicare UPINQ03418TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lois L Riley L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244124246
PECOS Enrollment IDI20040211000235
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
1,103 services88 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
94 services40 patients
Family psychotherapy with patient, 50 minutes 90847
Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.
63 services22 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.04
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lois Riley's NPI number?

The NPI number for Lois Riley is 1295812618. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Lois Riley located?

Lois Riley practices at 427 Lakeside Pass, New Braunfels, TX 78130. The listed phone number is (830) 608-4494.

What is Lois Riley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lois Riley enrolled in Medicare?

Yes. Lois Riley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lois Riley accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Lois Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lois Riley was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.