Mary Lisle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10000926 Issued in OH

Practice address

3401 Dixie Hwy
Hamilton, OH 45015

Phone

(513) 267-1198

NPI assigned

Jul 17, 2014

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

Other names 1

• Mary Gressle Former name

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1346657731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 MARTZ PAULIN RD",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450054009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 DIXIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45015",
            "telephone_number": "513-267-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISLE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "10000926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GRESSLE",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prasanth Lingam, M.D.
• Kathryn Magoon Link, PA-C
• Jennifer M Linsky
• Thomas Lipps
• Lipsence Home Health
• Leslie Litmon, LICDC, CT
• Cameron Blake Little, FNP
• Joseph Little
• Mason Jay Little
• Noelle Little

• Clinical Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.