Lise Cormier Kampersal, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1020307 Issued in MA

Practice address

110 Hawthorn St
New Bedford, MA 02740-3425

Phone

(508) 951-7907

NPI assigned

Sep 7, 2018

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1033692801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAWTHORN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403425",
            "telephone_number": "508-951-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAWTHORN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403425",
            "telephone_number": "508-951-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER KAMPERSAL",
        "first_name": "LISE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Andrew Cordeiro, FNP
• Kassandra Lee Cordeiro, CNM
• Corymar Cordero
• Sonia Ivette Cordero
• Keylin Coreas, APRN, FNP-C
• Danielle Alice Cormier
• Jennifer Marjorie Cormier, FNP
• Susan E Cornell, D.O.
• Cornerstone Caregiving East LLC
• Cornerstone Performance and Physical Therapy

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.