Elizabeth Jarisie Ysla, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119334 Issued in CA

Practice address

2547 Galveston St
San Diego, CA 92110-2308

Phone

(787) 922-1004

NPI assigned

Jan 5, 2024

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

Other names 1

• Elizabeth Jarisie Ysla Former name

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1902676430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 GALVESTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102308",
            "telephone_number": "787-922-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 GALVESTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102308",
            "telephone_number": "787-922-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSLA",
        "first_name": "ELIZABETH",
        "middle_name": "JARISIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "YSLA",
            "middle_name": "JARISIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fady Youssef, M.D.
• Linda Ein Youssef
• Youth Empowerments Finest
• Lauren Yowell, RD
• Theophilos Elias Yphantides, M.D
• Amanda J Yslas
• Yu-Song Yen
• Alice L Yu, M.D., PHD.
• Allebasi Yu
• Amanda Evelyn Yu, DO, PHD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.