Joann W Liska, MSW LCSW SAC CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

39123 Issued in WI

Practice address

504 Lakeland Rd
Shawano, WI 54166-3836

Phone

(715) 526-5547

Fax

(715) 526-5542

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1992894224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAKELAND RD",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663836",
            "telephone_number": "715-526-5547",
            "fax_number": "715-526-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LAKELAND RD",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663836",
            "telephone_number": "715-526-5547",
            "fax_number": "715-526-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKA",
        "first_name": "JOANN",
        "middle_name": "W",
        "credential": "MSW LCSW SAC CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "39123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "39123",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39625700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Jean Lewis, M.A.CCC-SLP
• Tod C Lewis, MD
• Deborah Jean Lidbury, RN, MSN
• Christy Lingnofski, APNP
• Amy Linsmeyer, PT
• Little Minds Wellness LLC
• Rachel Ann Lohrengel, D-PT
• Vince D Long, SAC
• May Kaying Lor
• Adrienne Luebke, PHARMD

• Addiction (Substance Use Disorder) Counselor in Shawano, WI
• Providers in Shawano, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.