Lisa Colliss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS24713 Issued in CA

Practice address

51 E Campbell Ave
Suite 103a
Campbell, CA 95008-2047

Phone

(408) 376-4115

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lisa Quieto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1306912902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE",
            "address_2": "SUITE 103A",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "408-376-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE",
            "address_2": "SUITE 103A",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "408-376-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLISS",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW18814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CLARA COUNTY ID",
            "identifier": "4593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "QUIETO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Cohen-Goodvoice, CFS I
• Laurinda Enuyami Coker-Howard
• Hilary Cole, MS, RD
• Collins and Mingrone D.D.S., P.C., Campbell
• Taylor Marie Collins
• C Andrew Combs, MD
• Conger-Brass Chiropractic Corporation
• Colleen Marie Conger-Brass, D.C.
• Idris Conteh
• Isabella Serratos Contreras

• Clinical Social Worker in Campbell, CA
• Providers in Campbell, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.