Lisa Morin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125742 Issued in MA

Practice address

170 Centre St
Milton, MA 02186-3338

Phone

(617) 293-1657

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Milton Counseling Collaborative

  • Clinical Social Worker
  • Milton, MA
  • NPI 1407606791
  NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1699834598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CENTRE ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863338",
            "telephone_number": "617-293-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CENTRE ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863338",
            "telephone_number": "617-293-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "113561496",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lavennia Milton, MM
• CJ Mimee
• Sara Mohammed
• Kayleen M Moore, PA-C
• Genie Morelus
• Jazmin Covarrubias Munoz, M.D.
• Saraswathi Devi V Muppana, M.D.
• Akshay Murlidharan, DPT
• John M Murphy, DMD
• Patrick Murphy, D.M.D.

• Clinical Social Worker in Milton, MA
• Providers in Milton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.