LISA DIANE BROWN (NPI# 1710523774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710523774 |
| Entity Type | Individual |
| Full Name | LISA DIANE BROWN |
| Other Name | LISA DIANE CROEKER |
| Credential | LCSW |
| Practice Address |
W3950 Wi-23 Trunk Fond Du Lac WI 54937 |
| Mailing Address |
E7475 Rawhide Rd New London WI 54961-9025 |
| Practice Telephone | 8773009101 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 13056-120 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
| 1700343738 | Lisa Brown | Counselor | 1151 Pocono Blvd, Mount Pocono, PA 18344-1033 | 2019-02-26 |
| 1144700196 | Lisa Anne Brown | Registered Nurse | 1860 County Road 217, Breckenridge, TX 76424-8749 | 2018-08-20 |
| 1639668775 | Lisa Ann Brown | Registered Nurse | 168 Ekvall Ln, Dunlap, TN 37327-7731 | 2018-05-03 |
| 1790293892 | Lisa H Brown | Counselor | 3233 S Sherwood Forest Blvd Ste 203b, Baton Rouge, LA 70816-2250 | 2018-01-11 |
| 1407395924 | Lisa Brown | Speech-Language Pathologist | 5900 Memorial Dr Ste 302, Houston, TX 77007-8008 | 2017-02-16 |
| 1326599978 | Lisa Brown | Social Worker | 8737 Veterans Hwy, Millersville, MD 21108-2046 | 2016-10-19 |
| 1447604210 | Lisa Brown | Registered Nurse | 1000 Stillcreek Dr, Dayton, OH 45458-3220 | 2016-04-19 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1780092411 | Lisa Brown | Occupational Therapy Assistant | 16544 County Road T, Napoleon, OH 43545-9442 | 2014-07-25 |
| Street Address |
W3950 WI-23 TRUNK |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| 1407030067 | Adriana Arguello | Internal Medicine | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2007-12-19 |
| Find all providers in zip 54937 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205957958 | Kathleen Burghardt | Social Worker | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2007-04-02 |
| 1700414489 | Heather A Beaudoin | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2020-03-30 |
| 1023640083 | Jennifer Michelle Deringer | Social Worker | 74 S Main St Ste 103, Fond Du Lac, WI 54935-4274 | 2020-02-07 |
| 1689217317 | Karen Eileen Martin | Social Worker | 430 E Division St, Fond Du Lac, WI 54935-4597 | 2019-10-25 |
| 1336790500 | Lynn Propson | Social Worker | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-09-27 |
| 1750934063 | Molly Anne Gretz | Social Worker | 74 S Main St Ste 103, Fond Du Lac, WI 54935-4274 | 2019-07-17 |
| 1174091888 | David Francione | Social Worker | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2018-11-12 |
| 1831664572 | Danielle Jahnke | Social Worker | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2018-10-09 |
| 1194221234 | Kelli Pitzen | Social Worker | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2018-04-05 |
| 1275077158 | Lacey Benike | Social Worker | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2016-12-12 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54937 |
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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.