Active NPI
Lisa Marie Newberry, LCSW
- Clinical Social Worker
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105615
- Practice address
- 504 W Mission Ave Ste 106
Escondido, CA 92025-1603 - Phone
- (619) 281-3706
- Fax
- (760) 796-4397
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105615 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
504 W Mission Ave Ste 106
Escondido, CA 92025-1603
Mailing address
29747 Miller Rd
Valley Center, CA 92082-5829
Phone (760) 468-0355
Other practice location 1
157 E Valley Pkwy
Escondido, CA 92025-2762
Phone (760) 546-2838
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Fred Finch Youth Center | Mental Health | Past | Accepting new patients |
| Family Health Centers of San Diego, Inc | Past | Accepting new patients | |
| Fred Finch Youth Center | Clinical | Past | Accepting new patients |
Locations
157 E Valley Pkwy
Escondido, CA 92025
Phone (760) 546-2838
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 6
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.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Beach Area Family Health Center Annex
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1184982159
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1740923291
-
- Clinical Social Worker
- San Marcos, CA
- NPI 1881354736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1578041083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29747 MILLER RD",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920825829",
"telephone_number": "760-468-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 W MISSION AVE STE 106",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920251603",
"telephone_number": "619-281-3706",
"fax_number": "760-796-4397"
}
],
"practiceLocations": [
{
"address_1": "157 E Valley Pkwy",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920252762",
"country_code": "US",
"telephone_number": "760-546-2838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWBERRY",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "105615",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.