Lisa Beth Westerson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080624-1 Issued in NY

Practice address

187 South Canaan Road
Canaan, CT 06018

Phone

(860) 824-1397

Fax

(888) 759-8752

NPI assigned

Apr 20, 2016

Sex

Female

Sole proprietor

No

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.

• MC1 Healthcare

  • Substance Abuse Rehabilitation Facility
  • Canaan, CT
  • NPI 1083883177
  NPD (past)
• Mountainside - Wilton

  • Substance Abuse Rehabilitation Facility
  • Wilton, CT
  • NPI 1669970125
  NPD (past)
• Mountainside Westchester LLC

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1457015331
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2016.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1780038331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060180717",
            "telephone_number": "860-824-1397",
            "fax_number": "888-759-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 SOUTH CANAAN ROAD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "06018",
            "telephone_number": "860-824-1397",
            "fax_number": "888-759-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERSON",
        "first_name": "LISA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080624-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Alice Unite, RPT
• Lori A Ustico, BOC ABC CERTIFIED
• Vitality Healthcare LLC
• Walgreen Co
• Helen Ward, P.T.A.
• Magdalena Wieczorek, PMNP-BC
• Gabrielle Kathleen Wynschenk
• Jillian R Zeitler

• All providers in Canaan, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.