Individual provider Active NPI

Lisa Beth Westerson, LCSW

  • Clinical Social Worker
  • Canaan, CT
National Provider Identifier
1780038331
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 080624-1 NY Primary

Addresses

Primary practice location

187 South Canaan Road
Canaan, CT 06018

Mailing address

PO Box 717
Canaan, CT 06018-0717
Phone (860) 824-1397

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
080624-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MC1 Healthcare Past Accepting new patients
Mountainside Westchester LLC PastSince Oct 31, 2021 Accepting new patients
Mountainside - Wilton Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Canaan, CT

Sources for this page

  • 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.