| Lisa Goldwyn, LCSW | |
|
493 Main Street, Weaverville, CA 96093-9609 | |
| (530) 739-5782 | |
| Not Available |
| Full Name | Lisa Goldwyn |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 493 Main Street, Weaverville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023640505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Goldwyn, LCSW Po Box 64, Weaverville, CA 96093-0064 Ph: () - | Lisa Goldwyn, LCSW 493 Main Street, Weaverville, CA 96093-9609 Ph: (530) 739-5782 |
Mr. Christian Gardinier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Main St., Weaverville, CA 96093 Phone: 530-623-8259 | |
Megan Porter Scalzo, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Main St, Weaverville, CA 96093 Phone: 530-623-1362 | |
Nancy Sickle Antoon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Main St, Weaverville, CA 96093 Phone: 530-623-8293 Fax: 530-623-1447 |