Lisa C Erwin Licsw PLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

089.0110618 Issued in VT

Legal business name

LISA C ERWIN LICSW PLC

Practice address

316 Main St
Suite 206
Newport, VT 05855-5530

Phone

(802) 673-1029

NPI assigned

Feb 26, 2017

Last updated

Feb 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Chretien Erwin, LICSWNPI 1669911228

Title

Owner

Phone

(802) 873-3542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Erwin, L.I.C.S.W.

  • Clinical Social Worker
  • Newport, VT
  • NPI 1669911228
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488067200000",
    "number": "1992245849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "DERBY LINE",
            "state": "VT",
            "postal_code": "058301177",
            "telephone_number": "802-873-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "address_2": "SUITE 206",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555530",
            "telephone_number": "802-673-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C ERWIN LICSW PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-26",
        "last_updated": "2017-02-26",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CHRETIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-873-3542",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VT",
            "license": "089.0110618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fanny Letourneau
• Blake Lewis, M.A.
• Gretchen Elizabeth Lewis, LCMHC CASAC
• Victoria A Lillis, PA-C
• John A Lippmann, MD
• Living Well Nek LLC
• Margaret J Loriot, MSW
• Eric Alan Lucier, LCMHC
• Inga Luebkeman, MA
• Carleigh Lyon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Newport, VT
• Providers in Newport, VT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.