Lisa Donze Jacob, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7530 Issued in LA

Practice address

1445 W Causeway Approach
Mandeville, LA 70471-3045

Phone

(985) 727-7993

Fax

(985) 727-7016

NPI assigned

Dec 5, 2007

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

Other names 1

• Lisa Donze Erichson Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Family CenterGroup PAC ID 8426296849, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldonzejacob284061@directc.mercy.net

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.

• Mercy Family Center

  • Clinical Psychologist
  • Metairie, LA
  • NPI 1497895262
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1629250261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 REIHER RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717262",
            "telephone_number": "985-373-4418",
            "fax_number": "985-727-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713045",
            "telephone_number": "985-727-7993",
            "fax_number": "985-727-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LISA",
        "middle_name": "DONZE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ERICHSON",
            "middle_name": "DONZE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Interim Healthcare San Jose LLC
• Francesca Inzina
• Chris Joseph Ivanyisky, RPH
• Jenna Jackson, PHARMD
• Jacob Dent, D.D.S., Dentists of Mandeville, a Professional Corporation
• Karen Aleta Jacobs Spears
• Almore Raymond James Sr., MENTAL HEALTH SPECIA
• Kelly Sharp James, MS, CCC-SLP
• Shaunasi James
• Nathan Daniel Jamison, LCSW

• Clinical Social Worker in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.