Lisa Ann Eubank, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

299 Mardi Gras Ave NW
Palm Bay, FL 32907-2914

Phone

(321) 960-3859

NPI assigned

Apr 30, 2013

Last updated

Jun 13, 2016By 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

Enrolled in FL

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

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.

• Allies in Wellness, LLC

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1447812888
  Medicare reassignment NPD
• Lisa Eubank LCSW LLC

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1205773173
  NPD Authorized official
• Allies in Wellness, LLC

  • Clinical Social Worker
  • Rockledge, FL
  • NPI 1851019798
  NPD

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1265877583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MARDI GRAS AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072914",
            "telephone_number": "321-960-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MARDI GRAS AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072914",
            "telephone_number": "321-960-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANK",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Espenschied, PA-C
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• Farrah Estrada
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• Monique Exume, FNP
• Eye Doctors Optical Outlets, PA (Eye Doctors Optical Outlets)
• Fidelis Ifeanyi Ezewike Jr.
• Amanda Ann Fadden, AUD

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.