Lisa Carol Spars, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18229 Issued in CA

Practice address

1745 Enterprise Dr BLDG 2 # Ms 2-270
Fairfield, CA 94533-5801

Phone

(707) 399-4948

Fax

(707) 399-4957

NPI assigned

Dec 15, 2006

Last updated

Feb 2, 2024By the provider in NPPES

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Lake Psychology Inc.

  • Psychologist
  • Los Angeles, CA
  • NPI 1932651817
  Medicare reassignment NPD
• Telecare Corporation

  dba Gateway To Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1720164882
  Medicare reassignment NPD
• Telecare Corporation

  dba Valley Vista Permanent Supportive Housing

  • Mental Illness Community Based Residential Treatment Facility
  • San Diego, CA
  • NPI 1275398935
  NPD
• Telecare Corporation

  • Psychiatric Residential Treatment Facility
  • Martinez, CA
  • NPI 1669809083
  NPD
• Solano County Health and Social Services

  • Case Management Agency
  • Fairfield, CA
  • NPI 1104035427
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1760544597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 ARLINGTON WAY",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532322",
            "telephone_number": "925-457-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 ENTERPRISE DR BLDG 2 # MS 2-270",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335801",
            "telephone_number": "707-399-4948",
            "fax_number": "707-399-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARS",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Angelina Souza Puente
• Madison Elizabeth Souza, NP
• Stacey Allison Souza, RN, BSN
• Ismael Sow
• Jonathan Gale Spars, LCSW
• Tia Michelle Spearman
• Specialized Education of California, Inc. (Sierra Schools of CA (A Catapult Learning Company))
• Wyme Speight, CCC-SLP
• Carlton E. Spradley, RAS-I
• Srijanani Manohar, DMD, Associates, Inc

• Clinical Social Worker in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.