NPI 1124619242 · live from the CMS NPI Registry
Lisa Andreas, LCSW
Counselor, Mental Health in Madison, WI. National Provider Identifier 1124619242, active.
NPI record
| NPI | 1124619242 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 702 N Blackhawk Ave Ste 104, Madison, WI 53705 |
| Practice phone | 608-237-8890 |
| Mailing address | 6516 Monona Dr # 156, Monona, WI 53716 |
| Enumerated | February 1, 2021 |
| Last updated | November 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 9188-123 (WI) |
| Counselor, Mental Health primary | 101YM0800X | 9188-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.