LISA PACKARD (NPI# 1053819953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053819953 |
| Entity Type | Individual |
| Full Name | LISA PACKARD |
| Practice Address |
906 Wingate Trl Port Orange FL 32128-7524 |
| Practice Telephone | 9892629905 |
| Mailing Telephone | 9892629905 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW13499 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 S Swoope Ave Ste 110, Maitland, FL 327515784 | 4076220444 | 4076990444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326282476 | Lisa K Packard | Obstetrics & Gynecology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2009-04-20 |
| Street Address |
906 WINGATE TRL |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| 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 |
|---|---|---|---|---|
| 1134739543 | Lane Edward Jennings Jr. | Social Worker | 5765 Pendlebury Ct, Port Orange, FL 32127-7960 | 2020-08-01 |
| 1578091385 | Jill Sheldon Counseling LLC | Social Worker | 3959 S Nova Rd Ste B15, Port Orange, FL 32127-9278 | 2017-05-24 |
| 1477900884 | Willis Blower | Social Worker | 1160 Greenbriar Ave, Port Orange, FL 32127-6010 | 2016-05-16 |
| 1831511203 | Cassandre Ackerman | Social Worker | Davita Dialysis, 3997 South Nova Road, Port Orange, FL 32127-1230 | 2014-01-20 |
| 1124392063 | Michael William Reed | Social Worker | 6050 Winding Ridge Ln, Port Orange, FL 32128-7110 | 2012-02-23 |
| 1194095885 | Rosemarie Balsam | Social Worker | 710 Marshall Cir, Port Orange, FL 32127-5527 | 2012-01-11 |
| 1902048176 | Shannon Marie King | Social Worker | 1690 Dunlawton Ave Ste 125, Port Orange, FL 32127-8980 | 2009-04-02 |
| 1629127345 | Jim Branch | Social Worker | 4319 S Ridgewood Ave, Port Orange, FL 32127-4522 | 2007-01-10 |
| 1285791764 | Core Counseling Service Inc | Social Worker | 4319 So Ridgewood Ave, Port Orange, FL 32127 | 2007-01-03 |
| 1780663724 | Daniel Eli Michaud-novak | Social Worker | 3959 S Nova Rd Ste B-15, Port Orange, FL 32127 | 2006-01-10 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
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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.