Lisa Lorraine Stiles, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071389-1 Issued in NY

Practice address

1295 Boston Ave
Bay Shore, NY 11706-4717

Phone

(631) 328-1651

Fax

(801) 923-7211

NPI assigned

Mar 4, 2009

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

• Lisa Lorraine Haas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1932349982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BOSTON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064717",
            "telephone_number": "631-328-1651",
            "fax_number": "801-923-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 BOSTON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064717",
            "telephone_number": "631-328-1651",
            "fax_number": "801-923-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "LISA",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071389-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HAAS",
            "middle_name": "LORRAINE",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bartlomiej Stepien, PA
• Robert Steptoe
• Steven J Litman MD PC
• Kaitlin Marie Stevens, LCSW
• Nancy J Stevens, RN
• Stillwater Group of America
• Stillwater Occupational Therapy & Social Work Group, PLLC
• Stillwater Psychological and Occupational Therapy Assoc PLLC
• Stillwater Therapy LCSW P.C.
• Danielle Strafford, COTA/L

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.