Lisa L Tangalos, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

80759 Issued in CA

Practice address

10 Millwood St Ste 6
Mill Valley, CA 94941-2064

Phone

(415) 726-8503

Fax

(415) 726-7503

NPI assigned

Jul 5, 2018

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

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1477049187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GABLE CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035213",
            "telephone_number": "415-827-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MILLWOOD ST STE 6",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412064",
            "telephone_number": "415-726-8503",
            "fax_number": "415-726-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGALOS",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "80759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Swoiskin, M.D.
• Charles S Szabo, MD
• Larry Tackett
• Yewtai Frederick Tan, D.D.S.
• Lewis Tanenbaum, MD
• Noellette P Tangtrongsakdi-Falkow, D.D.S., M.S.D.
• Judi P Tawney
• Mahnaz Tayarani Babai, RDHAP
• Brenna Christine Taylor-Ford, LCSW
• Samea Teller, OTR/L

• Social Worker in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.