Lisa Tyer Kwasinski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6977 Issued in MS

Practice address

Lifecore Health Group
2434 South Eason Blvd
Tupelo, MS 38804-6942

Phone

(662) 640-4595

Fax

(662) 680-6416

NPI assigned

Sep 28, 2006

Last updated

Nov 7, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Mental Health-Mental Retardation CommissionGroup PAC ID 5193611747, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Mental Health-Mental Retardation Commission

  dba Lifecore Health Group

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1548413628
  Medicare reassignment Care Compare group NPD
• Northeast Mental Health-Mental Retardation Commission

  dba Lifecore Health Group

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1679903546
  NPD
• Northeast Mental Health/Mental Retardation Commission

  dba Northeast Mental Health-Menta

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tupelo, MS
  • NPI 1801828496
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1467543785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 EAST BAY CIRCLE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFECORE HEALTH GROUP",
            "address_2": "2434 SOUTH EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046942",
            "telephone_number": "662-640-4595",
            "fax_number": "662-680-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASINSKI",
        "first_name": "LISA",
        "middle_name": "TYER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Kulovitz
• Ajay Kumar
• Parkash Kumar
• Umesh Kumar, M.D
• Amelia S Kuykendall, NP-C
• L P Britt PA
• Alexis Lachney
• Sharon Lachney, RN
• Haley Lackey
• Regina Lacking, LCSW

• Clinical Social Worker in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.