Individual provider Active NPI

Lisa Anne Criswell, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1356954150
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118016 Issued in CA
Practice address
4946 E Yale Ave Ste 103
Fresno, CA 93727-1571
Phone
(619) 245-7299
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 96494 CA
Social Worker 104100000X
Social Worker 104100000X 96494 CA
Clinical Social Worker 1041C0700X 118016 CA Primary

Addresses

Primary practice location

4946 E Yale Ave Ste 103
Fresno, CA 93727-1571

Mailing address

4946 E Yale Ave
Fresno, CA 93727-1571
Phone (559) 458-0210

Other practice location 1

6764 N Rafael Ave
Fresno, CA 93711-0828
Phone (559) 681-8707

Other names 1

  • Lisa Anne Gonzales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20251126002392 CA Practitioner - Clinical Social Worker 7517461460 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4946 E Yale Ave
Suite 103
Fresno, CA 93727-1571
Phone (559) 681-8707

6764 N Rafael Ave
Fresno, CA 93711-0828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118016CAMDClinical Social Worker
96494CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Criswell, Licensed Clinical Social Worker Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1356954150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 E YALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271571",
            "telephone_number": "559-458-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 E YALE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271571",
            "telephone_number": "619-245-7299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6764 N Rafael Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110828",
            "country_code": "US",
            "telephone_number": "559-681-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "96494",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "96494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GONZALES",
            "middle_name": "ANNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.