Active NPI
Lisa M Wineburg, LCSW-BACS
- Clinical Social Worker
- Harvey, LA
National Provider Identifier
1538423876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9573
- Practice address
- 2439 Manhattan Blvd
Suite 304
Harvey, LA 70058 - Phone
- (504) 333-6657
- Fax
- (504) 373-6193
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9573 | LA | Primary |
Addresses
Primary practice location
2439 Manhattan Blvd
Suite 304
Harvey, LA 70058
Mailing address
2439 Manhattan Blvd Ste 304
Suite 304
Harvey, LA 70058
Phone (504) 333-6657
Other names 1
- Ms. Lisa M Ruffin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9573 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Counseling & Consulting Services | Clinical | Past | Accepting new patients |
| New Beginnings Behavioral Health Services LLC | Past | Accepting new patients | |
| New Beginnings Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Harvey, LA
- NPI 1417334632
-
- Community/Behavioral Health Agency
- Harvey, LA
- NPI 1417408006
-
- Clinical Social Worker
- La Place, LA
- NPI 1699110122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1538423876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 MANHATTAN BLVD STE 304",
"address_2": "SUITE 304",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-333-6657",
"fax_number": "504-373-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 MANHATTAN BLVD",
"address_2": "SUITE 304",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-333-6657",
"fax_number": "504-373-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINEBURG",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW-BACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "RUFFIN",
"middle_name": "M",
"prefix": "MS.",
"credential": "LCSW-BACS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.