Individual provider Active NPI

Lisa Renee Hunt-Vasquez, LCSW

  • Clinical Social Worker
  • Morongo Valley, CA
National Provider Identifier
1689433591
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW81613 Issued in CA
Practice address
52996 29 Palms Hwy
Morongo Valley, CA 92256-9697
Phone
(951) 906-7086
NPI assigned
Mar 14, 2024
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW81613 CA Primary

Addresses

Primary practice location

52996 29 Palms Hwy
Morongo Valley, CA 92256-9697

Mailing address

49649 29 Palms Hwy
PO Box #13
Morongo Valley, CA 92256-9697
Phone (951) 906-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW81613CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1689433591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49649 29 PALMS HWY",
            "address_2": "PO BOX #13",
            "city": "MORONGO VALLEY",
            "state": "CA",
            "postal_code": "922569697",
            "telephone_number": "951-906-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52996 29 PALMS HWY",
            "city": "MORONGO VALLEY",
            "state": "CA",
            "postal_code": "922569697",
            "telephone_number": "951-906-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT-VASQUEZ",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW81613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morongo Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.