Lisa Wackerman Iwanowski, LCSW,MSW,BA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4411 Issued in CT

Practice address

1275 Post Rd Ste A11
Fairfield, CT 06824-6061

Phone

(203) 257-6047

NPI assigned

Jul 18, 2008

Last updated

Dec 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

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

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740

  Clinical

  Medicare reassignment NPD
• Lisa Iwanowski LCSW LLC

  • Community/Behavioral Health Agency
  • Fairfield, CT
  • NPI 1477025617
  Authorized official Same address or phone

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1235394263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POST RD STE A11",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246061",
            "telephone_number": "203-257-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POST RD STE A11",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246061",
            "telephone_number": "203-257-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Main St",
            "address_2": "Home Base Services-3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067022310",
            "country_code": "US",
            "telephone_number": "203-575-0466 x1135",
            "fax_number": "203-575-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWANOWSKI",
        "first_name": "LISA",
        "middle_name": "WACKERMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW,MSW,BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Ayurvedic and Naturopathic Therapies
• Bridget Instrum, PA-C
• Integrated Medical Center
• David Paul Isenberg, PHD
• Kathleen Istvan, SLP
• J & L Medical Services, LLC
• Gina Jacobson, OTR/L
• Melissa Jagoe-Seidl
• Monica M Jain, MD
• Theodora Barber Jameson, PT

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.