Mrs Elizabeth L Wise, LCSW - in Pine Mountain Club, CA

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Mrs Elizabeth L Wise, LCSW is a Counselor - Mental Health based in Pine Mountain Club, California. Mrs Elizabeth L Wise is licensed to practice in California (license number 99104) and her current practice location is 2500 Cedarwood Dr., Pine Mountain Club, California. She can be reached at her office (for appointments etc.) via phone at (310) 422-2047.

NPI number for Mrs Elizabeth L Wise is 1255833125 and her current mailing address is Po Box 6750, Pine Mountain Club, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255833125.

Contact Information

Mrs Elizabeth L Wise, LCSW
2500 Cedarwood Dr.,
Pine Mountain Club, CA 93222-6750
(310) 422-2047
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Elizabeth L Wise
GenderFemale
SpecialityCounselor - Mental Health
Location2500 Cedarwood Dr., Pine Mountain Club, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255833125
  • Provider Enumeration Date: 03/06/2018
  • Last Update Date: 09/17/2021

Medical Identifiers

Medical identifiers for Mrs Elizabeth L Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255833125NPI-NPPES
1255833125OtherCAOTHER
75984MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 75984 (California)Secondary
101YM0800XCounselor - Mental Health 99104 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth L Wise is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Elizabeth L Wise, LCSW
Po Box 6750,
Pine Mountain Club, CA 93222-6750

Ph: (310) 422-2047		Mrs Elizabeth L Wise, LCSW
2500 Cedarwood Dr.,
Pine Mountain Club, CA 93222-6750

Ph: (310) 422-2047

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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