Lisa Marie Jorgensen-Bock, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11379 Issued in CA

Practice address

2233 Honolulu Ave Unit 312
Montrose, CA 91020-1635

Phone

(818) 839-0855

NPI assigned

Mar 22, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Social Compass Club, a Speech-Language Pathology Corporation

  • Speech-Language Pathologist
  • Montrose, CA
  • NPI 1407630759

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1356044085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE UNIT 312",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201635",
            "telephone_number": "818-839-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE UNIT 312",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201635",
            "telephone_number": "818-839-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN-BOCK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Molly James, LMFT
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• Joseph R Maloof, Chiropractic, Inc
• Kaiser Cole Chiropractic Inc
• Mary B. Kaiser-Cole, DC
• Steven D Kamajian, D.O
• Kamillia Home Health Inc.

• Speech-Language Pathologist in Montrose, CA
• Providers in Montrose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.