Lisa Molyneaux, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4354 Issued in FL

Practice address

605 SW Park St
Suite 203
Okeechobee, FL 34972-4173

Phone

(863) 697-1261

NPI assigned

Feb 11, 2011

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 FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD
• Treatment Centers of America, LLC

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
  • NPI 1225743032
  Medicare reassignment NPD
• LM Counseling Services, LLC.

  • Clinical Social Worker
  • Okeechobee, FL
  • NPI 1730433665
  NPD Authorized official
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment
• Treatment Centers of America, LLC

  • Substance Abuse Rehabilitation Facility
  • Wildwood, FL
  • NPI 1750117891
  NPD
• Childrens Counseling Network, LLC.

  • Mental Health Counselor
  • Okeechobee, FL
  • NPI 1194069864
  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1578860441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 NE 62ND PKWY",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349728680",
            "telephone_number": "863-357-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SW PARK ST",
            "address_2": "SUITE 203",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724173",
            "telephone_number": "863-697-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLYNEAUX",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Florida Radiation Oncology Asso
• Mid-Florida Radiation Oncology PA
• Amber Leigh Middleton
• Mohammad Riaz MD
• Mark J Moll, O.D.
• Julian A Moore, M.D.
• Alexis Ann Morgan
• Darby B Morgan, ARNP
• Melissa Kathryn Morris, ARNP
• Khamphou Manivanh Mosley, FNP-BC

• Clinical Social Worker in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.

Verify at the official NPI Registry.