MS. LISA MARIE CARROLL (NPI# 1316390586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316390586 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE CARROLL |
| Credential | MSW, LCSW |
| Practice Address |
17100 Euclid St Fountain Valley Regional Hospital, Attn Social Services Fountain Valley CA 92708-4004 |
| Practice Telephone | 7149667200 |
| Mailing Telephone | 7143232437 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
71139 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336662998 | Lisa Carroll | Physical Therapist | 7601 Imperial Hwy # 2149, Downey, CA 90242-3456 | 2017-07-25 |
| 1174989909 | Lisa Carroll | Early Intervention Provider Agency | 17 W 11th Rd, Broad Channel, NY 11693-1115 | 2016-01-09 |
| 1649381344 | Lisa Bertina Carroll | Dermatology | 2051 Hamill Road, Ste 301 A, Hixson, TN 37343 | 2006-08-31 |
| 1356332027 | Lisa A Carroll | Dermatology | 25 Lenfant Ct, Glen Mills, PA 19342-1668 | 2005-11-02 |
| 1194721548 | Lisa Carroll | Nurse Practitioner | 992 Union St, Bangor, ME 04401-3057 | 2005-06-21 |
| 1417456955 | Lisa Carroll | Dietitian, Registered | 525 S Washington St, Naperville, IL 60540-6749 | 2018-02-11 |
| 1083083182 | Lisa Carroll | Counselor | 141 N Meramec Ave, Suite 109, Clayton, MO 63105-3750 | 2015-09-18 |
| 1992174007 | Lisa Elizabeth Carroll | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2015-09-18 |
| 1386087112 | Lisa M Carroll | Obstetrics & Gynecology | 119 Hendersonville Rd, Asheville, NC 28803-2868 | 2013-04-11 |
| 1245504943 | Lisa D Carroll | Social Worker | 4647 Zion Ave, San Diego, CA 92120-2507 | 2012-02-28 |
| Street Address |
17100 EUCLID ST FOUNTAIN VALLEY REGIONAL HOSPITAL, ATTN SOCIAL SERVICES |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648319 | Kazuo Yamazaki | Pathology | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2005-06-08 |
| 1841837028 | Kevin Lo | Pharmacist | 17100 Euclid St, Fountain Valley, CA 92708-4043 | 2019-12-05 |
| 1275170524 | Dennis Anthony Cabrera | Pharmacist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-12-05 |
| 1003462722 | Caitlyn Jeein Kim | Registered Nurse | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-08-18 |
| 1750946851 | Pauni Medical Inc | Specialist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-05-03 |
| 1023672037 | Joseph Bui | Podiatrist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-04-24 |
| 1528552353 | Frederica Yarborough | Nurse Practitioner | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-06-15 |
| 1952894982 | Phuong Tu Lam | Registered Nurse | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-06-13 |
| 1881197879 | Lori Akasaka | Social Worker | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-03-15 |
| 1124528104 | Sara Ajifu | Social Worker | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1700334554 | Tiffany Munholland | Social Worker | 17454 Santa Maria St, Fountain Valley, CA 92708-3126 | 2016-09-21 |
| 1720444136 | Joseph Ampudia | Social Worker | 17816 Bushard St, Fountain Valley, CA 92708-4560 | 2016-01-14 |
| 1497194443 | Sara Sierra-valinsky | Social Worker | 10061 Talbert Ave Ste 200, Fountain Valley, CA 92708-5123 | 2013-06-21 |
| 1467576371 | Jessica Sue Proffit | Social Worker | 17350 Mount Herrmann St Ste A, Fountain Valley, CA 92708-4114 | 2007-03-17 |
| 1760514988 | Jamie Munoz Cerda | Social Worker | 18350 Mount Langley St Ste 200, Fountain Valley, CA 92708-6912 | 2007-03-12 |
| 1790875409 | Suzanne Brodsly | Social Worker | 16480 Harbor Blvd Ste 103, Fountain Valley, CA 92708-1361 | 2006-10-13 |
| 1811515174 | Cindy Laura Huerta | Social Worker | 18350 Mount Langley St Ste 200, Fountain Valley, CA 92708-6912 | 2020-07-13 |
| 1053942961 | Roberto Rodriguez Ocampo | Social Worker | 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 | 2020-01-29 |
| 1184260945 | Jennie Newman | Social Worker | 17350 Mount Herrmann St Ste A, Fountain Valley, CA 92708-4114 | 2019-11-26 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.