Individual provider Active NPI

Lisa Burress

  • Clinical Social Worker
  • Bremerton, WA
National Provider Identifier
1225485675
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.60975497 Issued in WA
Practice address
2150 NE Lexington Dr
Bremerton, WA 98311-9536
Phone
(360) 362-0048
Fax
(360) 525-1032
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWI.LW.60975497 WA Primary

Addresses

Primary practice location

2150 NE Lexington Dr
Bremerton, WA 98311-9536

Mailing address

2150 NE Lexington Dr
Bremerton, WA 98311-9536
Phone (360) 362-0048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191122000951 WA Practitioner - Clinical Social Worker 7214369628 Practice locations: Bremerton, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 Old Military Rd NE
Suite 103
Bremerton, WA 98311-3242
Phone (360) 698-9258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWI.LW.60975497WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Burress, Licsw Clinical CurrentSince Aug 23, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisaburress@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1225485675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NE LEXINGTON DR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119536",
            "telephone_number": "360-362-0048",
            "fax_number": "360-525-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NE LEXINGTON DR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119536",
            "telephone_number": "360-362-0048",
            "fax_number": "360-525-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRESS",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.60975497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.