Lisa Ann Allison, LCSW

Individual provider Active NPI Clinical Social Worker · Globe, AZ

NPI 1699355800 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1699355800
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW-19103 (AZ)
Practice address
5860 S Hospital Dr
Globe, AZ 85501-9449
Phone
(928) 402-0491
Fax
(928) 402-0490
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Giraffe PLLC Clinical Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X LCSW-19103 AZ Yes

Addresses

Primary practice location

5860 S Hospital Dr
Globe, AZ 85501-9449

Mailing address

PO Box 52466
Mesa, AZ 85208-0124
Phone (808) 633-3416

Other providers in Globe, AZ

All providers in Globe, AZ · Clinical Social Worker in Arizona

Sources for this page

Verify at the official NPI Registry.