Lisa Lenora Estivill, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0000731 Issued in VT

Practice address

260 Beckley Hill Rd
Barre, VT 05641-9080

Phone

(802) 476-1480

Fax

(802) 479-4095

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1588960264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-476-1480",
            "fax_number": "802-479-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BECKLEY HILL RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056419080",
            "telephone_number": "802-476-1480",
            "fax_number": "802-479-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIVILL",
        "first_name": "LISA",
        "middle_name": "LENORA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Elmoussaoui, MA
• Kelley Elwell, FNP
• Michaela Erno
• Kara Erwin
• Ericka Estivill, HS
• Angela Fagginger-Auer
• Maria M. Farley
• Fischer, Ziegler and Lundberg Orthodontics
• Sienna E Flanders, LM, CPM
• James M. Foley, OD

• Clinical Social Worker in Barre, VT
• Providers in Barre, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.