Individual provider Active NPI

Lisa Marie Newberry, LCSW

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1578041083
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105615 Issued in CA
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

Updated by the provider on Oct 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003771 CA Practitioner - Clinical Social Worker 1456709526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Oct 15, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Oct 15, 2023 Accepting new patients
Fred Finch Youth Center Mental Health Past Accepting new patients
Family Health Centers of San Diego, Inc PastSince Apr 1, 2022 Accepting new patients
Fred Finch Youth Center Clinical PastSince Dec 1, 2021 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.

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

Verify at the official NPI Registry.