Lisa Robertson Veyssiere, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96520 Issued in CA

Practice address

240 Miller Ave Ste 240
Mill Valley, CA 94941-2858

Phone

(415) 936-9428

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Counseling Associates of Marin, a LCSW Organization

  • Clinical Social Worker
  • Mill Valley, CA
  • NPI 1639768344
  NPD
• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1891171971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CORTE MADERA TOWN CTR # 124",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251209",
            "telephone_number": "415-936-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MILLER AVE STE 240",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412858",
            "telephone_number": "415-936-9428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Drake Ave",
            "address_purpose": "LOCATION",
            "city": "Sausalito",
            "state": "CA",
            "postal_code": "949651107",
            "country_code": "US",
            "telephone_number": "415-936-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON VEYSSIERE",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid Corporation
• Riverside Radiology Medical Group, Inc.
• Robert E Belknap MD Inc
• Boe Elizabeth Roberts, LMFT
• Noah Gray Roberts, PT, DPT
• Curtis Frank Robinson, M.D.
• Rodney R. Heschong, RPT, Inc.
• Lynn Susan Rogers, PH.D.
• Rose Marriage and Family Therapy
• Laura Rose, MFT

• Clinical Social Worker in Mill Valley, CA
• Providers in Mill Valley, 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 Jan 17, 2021; 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.