Active NPI
Lisa Bronson
- Clinical Social Worker
- Temecula, CA
National Provider Identifier
1972351385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW121854
- Practice address
- 41593 Winchester Rd Ste 215
Temecula, CA 92590-4841 - Phone
- (951) 257-8045
- Fax
- (951) 602-7730
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW121854 | CA | Primary |
Addresses
Primary practice location
41593 Winchester Rd Ste 215
Temecula, CA 92590-4841
Mailing address
41593 Winchester Rd Ste 215
Temecula, CA 92590-4841
Phone (951) 257-8045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW121854 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Family Counseling Services | Clinical | Current | Accepting new patients |
Locations
41593 Winchester Rd
Ste 215
Temecula, CA 92590
Phone (951) 257-8045
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Temecula, CA
- NPI 1750971180
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1972351385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41593 WINCHESTER RD STE 215",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904841",
"telephone_number": "951-257-8045",
"fax_number": "951-602-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41593 WINCHESTER RD STE 215",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904841",
"telephone_number": "951-257-8045",
"fax_number": "951-602-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSON",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW121854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.