Lisa Carrie Tice, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00007113 Issued in WA

Practice address

6602 121St St NW
Gig Harbor, WA 98332-8611

Phone

(253) 857-4742

Fax

(253) 857-4742

NPI assigned

Oct 16, 2012

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

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1982957932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 121ST ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328611",
            "telephone_number": "253-857-4742",
            "fax_number": "253-857-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 121ST ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328611",
            "telephone_number": "253-857-4742",
            "fax_number": "253-857-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "LISA",
        "middle_name": "CARRIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanne J Thompson, ARNP
• Brandi Elizabeth Thomsen, NC.60463036
• Wendy Jo Thorn, DNP ARNP FNP-C
• Dallas Mitchell Thornton, CPHT
• Ann Marie Tibbetts
• Tigerwolf Electrodiagnostics, PLLC
• Bethany Joy Tilzey, CD(DONA)
• McKenzie Johanna Timmer, N.D.
• Rion Lee Tisino
• Jennifer Titterness

• Clinical Social Worker in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.