Discovery and Growth Psychotherapy, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DISCOVERY AND GROWTH PSYCHOTHERAPY, INC

Practice address

5252 Balboa Ave Ste 801
San Diego, CA 92117-6970

Phone

(760) 853-1097

NPI assigned

Jul 30, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Wasnocl, LCSW

Title

Owner

Phone

(574) 339-1840

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Wasnock, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1255728879
  NPD

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1356077390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176970",
            "telephone_number": "760-853-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY AND GROWTH PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "WASNOCL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-339-1840",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255728879",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisa@discoveryandgrowththerapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5252 Balboa Ave Ste 801",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921176970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Olivia Guadalupe Disabatino
• Kylie Disalvo
• Taylor Disch
• Discovery Health Holdings Corp
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• Discovery Practice Management, Inc
• Discovery Practice Management, Inc.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Jul 30, 2022; 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.