LISA MCMORAN


Address: 23115 Rider St Bldg A, Perris, CA 92570-9723
Phone: 9516868500

LISA MCMORAN (NPI# 1770034217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770034217
Entity Type Individual
Full Name LISA MCMORAN
Credential ASW77052
Practice Address 23115 Rider St Bldg A
Perris
CA 92570-9723
Mailing Address 42580 Caroline Ct Ste A
Palm Desert
CA 92211-9112
Practice Telephone 9516868500
Mailing Telephone 9516868500
Enumeration Date 2016-10-19
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator ASW77052 CA Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
710 Church St, Redlands, CA 923743538 9097934508

Office Location

Street Address 23115 RIDER ST BLDG A
City PERRIS
State CA
Zip Code 92570-9723

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659861185 Derriea Mcglothern Specialist/Technologist 23126 Rider St, Perris, CA 92570 2018-05-10
1790235109 Jeromy Ford Counselor 226 W. 4th St, Perris, CA 92570 2016-10-10
1699196485 Taniya Sweeney Community/Behavioral Health 413 South B Strret, Perris, CA 92570 2013-12-20
1790091718 Josh B Neal Counselor 827 Georgiana Ct, Perris, CA 92570 2010-08-27
1427370915 Riverside Recovery Resources Clinic/Center 13911 Perris Blvd, Perris, CA 92570 2010-02-24
1144471939 Three Angels Medical Professional Corporation Internal Medicine 180 East 4th St, Suite B and C, Perris, CA 92570 2008-10-10
1205091790 Jill None Demos Counselor 24050 Christmas Tree Lane, Perris, CA 92570 2008-07-23
1598929341 Jacqueline Anne Rockwell Counselor 555 Perris Blvd, Peris, CA 92570 2008-07-10
1053584128 Perris Union High School District Local Education Agency (LEA) 755-b North A Street, Perris, CA 92570 2008-04-09
1477735215 Christianne Nelson Case Management 308 E San Jacinto Avenue, Perris, CA 92570 2007-12-04
Find all providers in zip 92570

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720696503 Bernadette Mendoza Case Manager/Care Coordinator 170 Wilkerson Ave Ste Candd, Perris, CA 92570-2200 2020-07-17
1801330188 Maria Huerta Case Manager/Care Coordinator 1688 N Perris Blvd Ste L6-l11, Perris, CA 92571-4709 2016-12-06
1720438500 Ledilla Campbell Case Manager/Care Coordinator 3807 Carnelian Ct, Perris, CA 92570-7291 2016-06-13
1255785861 Teresa Leon Case Manager/Care Coordinator 1688 N Perris Bldv, Suite L6-11, Perris, CA 92571 2016-04-20
1295126548 Rosie Pope Case Manager/Care Coordinator 1688 N Perris Blvd # L711, Perris, CA 92571-4709 2015-02-09
1134546617 Fernando Luis Moulton Case Manager/Care Coordinator 1688 Perris Blvd, Suite L6-11, Perris, CA 92571 2014-03-24
1992130223 Beverly Christian Case Manager/Care Coordinator 1688 N Perris Blvd Ste L1, Perris, CA 92571-4701 2013-09-05
1336498112 Areli Ramirez Gonzalez Case Manager/Care Coordinator 528 Fair Park Way, Perris, CA 92570-3470 2012-09-07
1710009790 Enedina Avena Case Manager/Care Coordinator 1688 N Perris Blvd Ste L7-11, Perris, CA 92571-4709 2007-04-03
1265504492 Bertha Catalina Merino Case Manager/Care Coordinator 1688 N Perris Blvd Ste L7-l11, Perris, CA 92571-4709 2006-11-14
Find all providers in PERRIS

Competitor

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City PERRIS
Zip Code 92570

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Dataset Information

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.

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