Lisa A Friend, LISW, CDCA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103083 Issued in OH

Practice address

9083 Mentor Ave
Mentor, OH 44060-6462

Phone

(440) 205-2678

NPI assigned

Apr 7, 2018

Last updated

Jan 17, 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Anchor Counseling Services, LLC

  • Mental Health Counselor
  • Mentor, OH
  • NPI 1245614965
  Medicare reassignment NPD
• Lake-Geauga Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Mentor, OH
  • NPI 1750489779
  Medicare reassignment NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical

  Medicare reassignment NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1295096758
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1902303902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NEWELL ST APT 502",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771208",
            "telephone_number": "440-539-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606462",
            "telephone_number": "440-205-2678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Station St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604963",
            "country_code": "US",
            "telephone_number": "440-742-4656 x482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LISW, CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.169817",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1302539",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Frazier, QMHS BA CMS BA
• Brittany Freese
• Andrew Freund, DMD
• Christine Lynch Frey, MED.
• Keith Alan Friedenberg, M.D.
• Hilary Frohnapfel, RPH
• Christina Joann Fularz, BA
• Fatimaah D Fullilove, LSW, LICDC
• Tiara Fulton, LPC
• Diane Fultz, LCDCII, SWA, QMHS

• Clinical Social Worker in Mentor, OH
• Providers in Mentor, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.