Individual provider Active NPI

Lisa Albert, LCSW, PPSC

  • Clinical Social Worker
  • Anaheim, CA
National Provider Identifier
1457502650
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18564 Issued in CA
Practice address
501 N Brookhurst St
Suite 320
Anaheim, CA 92801-5226
Phone
(714) 490-7711
Fax
(714) 490-7717
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 18564 CA Primary

Addresses

Primary practice location

501 N Brookhurst St
Suite 320
Anaheim, CA 92801-5226

Mailing address

501 N Brookhurst St
Suite 320
Anaheim, CA 92801-5226
Phone (714) 490-7711

Other identifiers 1

IdentifierTypeStateIssuer
7565AOtherCAOUTPATIENT MENTAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 18564CAMDClinical Social Worker
105602TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1457502650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N BROOKHURST ST",
            "address_2": "SUITE 320",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015226",
            "telephone_number": "714-490-7711",
            "fax_number": "714-490-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N BROOKHURST ST",
            "address_2": "SUITE 320",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015226",
            "telephone_number": "714-490-7711",
            "fax_number": "714-490-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "LISA",
        "credential": "LCSW, PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT MENTAL HEALTH",
            "identifier": "7565A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.