RAYMOND C LISAUCKIS (NPI# 1255331013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255331013 |
| Entity Type | Individual |
| Full Name | RAYMOND C LISAUCKIS |
| Credential | LCSW |
| Practice Address |
4800 Memorial Dr Va Medical Center (124-vist-w) Waco TX 76711-1329 |
| Mailing Address |
800 Evergreen Ln Burleson TX 76028-8410 |
| Practice Telephone | 2542973123 |
| Practice Fax Number | 2432975387 |
| Mailing Telephone | 8172953736 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 03283 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
03283 | TX | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 03283 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S03283 | TX | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 03283 | TX | Other Service Providers |
| Street Address |
4800 MEMORIAL DR VA MEDICAL CENTER (124-VIST-W) |
| City | WACO |
| State | TX |
| Zip Code | 76711-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978817 | Macey Lynn Everett | Nutritionist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-09-29 |
| 1659980696 | Najeeah Smith | Social Worker | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-07-27 |
| 1679100309 | Sara Mariem Ramadan | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-03-24 |
| 1225660798 | Tiffany A Wilson | Licensed Practical Nurse | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-02-12 |
| 1972142164 | Sheri Lynn Shaw | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2020-01-05 |
| 1366085953 | Ashley P Evans | Registered Nurse | 4800 Memorial Dr, Waco, TX 76711 | 2019-10-25 |
| 1669021184 | Marian Nichole Guerrero | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-09-06 |
| 1003463191 | Paul Cook | Physical Therapist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-08-22 |
| 1346892601 | Austen Anderson | Psychologist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-07-16 |
| 1366006728 | Charles Agbonghae | Physical Therapist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090548 | Nps Care LLC | Pharmacy | 1401 S Valley Mills Drive, Beverly Hills, TX 76711 | 2019-12-19 |
| 1033684352 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1437 S. Valley Mills Drive, Waco, TX 76711 | 2018-10-13 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1134501869 | Market Place Health Care, LLC | Skilled Nursing Facility | 2430 Market Place Drive, Waco, TX 76711 | 2015-06-18 |
| 1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
| 1053606228 | Clenny Edward Terrell | Pharmacist | 1520 S. Valley Mills Dr., Bevely Hills, TX 76711 | 2011-06-15 |
| 1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
| 1184846685 | David Charles Chandler | Specialist/Technologist | Baylor Athletic Department, 150 Bear Run, Waco, TX 76711 | 2007-05-03 |
| 1326177601 | Minh D Nguyen | Family Medicine | 4800 Memorial Dr Bldg 4, Waco, TX 76711 | 2007-03-05 |
| 1376652719 | H-e-b, Lp | Clinical Medical Laboratory | 1821 S Valley Mills Dr, Waco, TX 76711 | 2006-08-30 |
| Find all providers in zip 76711 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935110 | Humberto Xavier Reveles | Social Worker | 345 Owen Ln Ste 102, Waco, TX 76710-5583 | 2019-07-24 |
| 1649831298 | Melanie Adams | Social Worker | 3617 Maple Ave, Waco, TX 76707-1117 | 2019-06-25 |
| 1093371809 | Lauren E Repa | Social Worker | 120 Hillcrest Medical Blvd Ste 300, Waco, TX 76712-8951 | 2019-05-16 |
| 1811551047 | Catherine Capp-hays | Social Worker | 209 Old Hewitt Rd Ste 3, Waco, TX 76712-6599 | 2019-04-23 |
| 1598225252 | Jaja Chen | Social Worker | 613 Austin Ave Apt E-2, Waco, TX 76701-2062 | 2019-03-20 |
| 1144793266 | Dina Fell | Social Worker | 110 S 12th St # T, Waco, TX 76701-1810 | 2019-01-11 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1225550296 | Abigale O'reilly | Social Worker | 9101 Pantherway, Waco, TX 76712-8614 | 2017-07-12 |
| 1275072480 | Kattina Bryant | Social Worker | 10709 Burnham Dr, Waco, TX 76708-2139 | 2017-02-21 |
| 1538602834 | Ntiense Covey | Social Worker | 200 W State Highway 6 Ste 217, Waco, TX 76712-3975 | 2016-11-18 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.