Lisa Thompson, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

74342 Issued in CA

Practice address

61 Avenida de Orinda Ste 110
Orinda, CA 94563-2339

Phone

(510) 345-3435

Fax

(949) 561-4332

NPI assigned

Feb 18, 2010

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

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

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.

• Grelling Psychology Associates P a

  • Psychologist
  • Orinda, CA
  • NPI 1316088388
  NPD

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1457673352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945630502",
            "telephone_number": "510-345-3435",
            "fax_number": "949-561-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 AVENIDA DE ORINDA STE 110",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632339",
            "telephone_number": "510-345-3435",
            "fax_number": "949-561-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "74342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Heisaburo Takao, M.D.
• Matthew Tamplen, M.D.
• Shoshana Taubman, PSY.D.
• Cecelia Thomas, D.D.S.
• Laro Virginia Thompson, PH.D
• Thrifty Payless Inc (Rite Aid Pharmacy 05933)
• Thomas Joseph Tobin, PH.D.
• Rebecca Sue Toft, LMFT
• Carol Lynn Tracy, NP,CNM
• Yolanda Trevino, HHP, CHWC, CLC

• Social Worker in Orinda, CA
• Providers in Orinda, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.