LISA ROBERTSON VEYSSIERE (NPI# 1891171971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891171971 |
| Entity Type | Individual |
| Full Name | LISA ROBERTSON VEYSSIERE |
| Credential | LCSW |
| Practice Address |
630 Drake Ave Sausalito CA 94965-1107 |
| Mailing Address |
145 Corte Madera Town Ctr # 124 Corte Madera CA 94925-1209 |
| Practice Telephone | 4159369428 |
| Mailing Telephone | 4159369428 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
96520 | CA | Behavioral Health & Social Service Providers |
| Street Address |
630 DRAKE AVE |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609807049 | Shannon Wozniak | Nurse Practitioner | 630 Drake Ave, Sausalito, CA 94965-1107 | 2006-07-05 |
| 1396215943 | Paula Moreno | Licensed Practical Nurse | 630 Drake Ave, Sausalito, CA 94965-1107 | 2018-11-27 |
| 1831616994 | Jacob Brown | Student in an Organized Health Care Education/Training Program | 630 Drake Ave, Sausalito, CA 94965-1107 | 2017-08-29 |
| 1932629334 | Marin City Health and Wellness Center | Clinic/Center | 630 Drake Ave, Sausalito, CA 94965-1107 | 2017-06-27 |
| 1184037541 | Reuben Burke | Marriage & Family Therapist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2014-06-03 |
| 1780015693 | Clay Campbell | Dentist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-12-02 |
| 1013346154 | Sophie Lartilleux-suberville | Marriage & Family Therapist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-11-08 |
| 1720425341 | Melissa Anne Rapp | Counselor | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-05-23 |
| 1730522475 | Colin Spake | Registered Nurse | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-04-11 |
| 1639439193 | Namuun Clifford | Nurse Practitioner | 630 Drake Ave, Sausalito, CA 94965-1107 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| 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 |
|---|---|---|---|---|
| 1447872916 | Laura Lee Phillips | Social Worker | 300 Valley St Ste 204, Sausalito, CA 94965-2480 | 2020-05-07 |
| 1952874133 | Carol Shira Barnett I | Social Worker | 14 Laurel Ln, Sausalito, CA 94965-1869 | 2019-01-09 |
| 1114439577 | Patricia Lee Morin | Social Worker | 347 Eden Roc, Sausalito, CA 94965-1361 | 2017-10-25 |
| 1427594860 | Erika Ducati | Social Worker | 3030 Bridgeway Ste 242, Sausalito, CA 94965-3801 | 2017-01-10 |
| 1801109327 | Melissa Lynn Heckman | Social Worker | 33 Buchanan Dr, Sausalito, CA 94965-1650 | 2010-07-26 |
| 1356576045 | Renee Noemie Surcouf | Social Worker | 915 Bridgeway, Sausalito, CA 94965-3201 | 2009-05-25 |
| 1336231331 | Camilla Coakley | Social Worker | 36 Wray Ave, Sausalito, CA 94965-1831 | 2006-09-28 |
| 1679682637 | Cheryl Ann Vander Waal | Social Worker | 254 Headlands Ct, Sausalito, CA 94965-1093 | 2006-08-30 |
| 1568480481 | Molly Jacobson Light | Social Worker | 66 Varda Lndg, Sausalito, CA 94965-1417 | 2006-07-18 |
| 1033423165 | David Cabot Klingman | Social Worker | 33 Buchanan Dr, Sausalito, CA 94965-1650 | 2010-07-30 |
| Find all providers in SAUSALITO | ||||
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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.