Michael Bruce Lisman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS15558 Issued in CA

Practice address

1270 Natividad Rd
Salinas, CA 93906-3144

Phone

(831) 755-4708

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1972080166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SHADOW MTN",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054616",
            "telephone_number": "510-917-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063144",
            "telephone_number": "831-755-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISMAN",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl J Lindblad
• Gerald B Linde, PH.D., M.F.T.
• Shane Linebarger
• Theresa Mary Linehan, BC-FNP, BC-ADM
• Brian Millard Lippincott, PH.D.
• Steven Lisowski, RN
• David Allen Litman, M.D.
• Bryce Kenneth Little, PT
• Mycala Ann Littlefield
• Danielle K Liu, PA-C

• Clinical Social Worker in Salinas, CA
• Providers in Salinas, 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 Jul 20, 2018; 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.