Lisa Doster, CDCA
Individual provider Active NPI Case Manager/Care Coordinator · Perrysville, OH
NPI 1003346875 · NPPES record last updated Nov 30, 2023
Key facts
- NPI
- 1003346875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1012 Odnr Mohican 51
Perrysville, OH 44864-9407 - Phone
- (419) 994-0300
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140890 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 140890 | OH |
Addresses
Primary practice location
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Mailing address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Other providers in Perrysville, OH
- Katie Marie Clever
- Michael Cutlip
- Xander Danehart
- Jasmine Davis
- Jennifer Louise Dewitt
- Edwin Everhart
- Lindsay Joy Extine
- Tanya Fellure
- Amanda Fox
- Daniel Gentile
All providers in Perrysville, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.