Fanita Marian Lister, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11086 Issued in CA

Practice address

2659 Townsgate Rd
#201
Westlake Village, CA 91361-2710

Phone

(805) 495-0598

Fax

(805) 381-9140

NPI assigned

Sep 1, 2006

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 identifiers 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376645473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY",
            "address_2": "#633",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-822-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD",
            "address_2": "#201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612710",
            "telephone_number": "805-495-0598",
            "fax_number": "805-381-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "FANITA",
        "middle_name": "MARIAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheva Adelaide Linick
• Fred Linstone, M.D.
• Diane Roth Lipson, PH.D.
• Lisa Dyck, Licensed Marriage and Family Therapist, Inc.
• Lisa Woolf , M.D., a Professional Corporation
• Fang-Yu Liu, MD
• Linda Liu, PA
• Thomas F Locke, PHD
• Linda Loomis, MFT
• Ana Lopez, BA

• Clinical Social Worker in Westlake Village, CA
• Providers in Westlake Village, 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 8, 2007; 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.