Lisette Koessick, MSW, RCSWI

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW20497 Issued in FL

Practice address

2240 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6970

Phone

(813) 279-1727

NPI assigned

Sep 11, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1679309017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N LAKEVIEW DR APT 1907",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TWELVE OAKS WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446970",
            "telephone_number": "813-279-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESSICK",
        "first_name": "LISETTE",
        "credential": "MSW, RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW20497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shera Sue Klotz, BA
• Madison Dowdy Kneapler, AUD
• Charisma Rhae Knowell
• Deborah Knudson, MD
• Angelea N Koenig
• Jason Ludwig Kolenda, D.C.
• Magdalena Kortis, DC
• Corason Lee Kowalski, LCSW
• Julie Kral, MS, CCC-SLP
• William J Kras III, MSN, APRN, FNP-BC

• Social Worker in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.