Lisette Jenee-moore Deese, LCSWA, LCAS is a
Social Worker - Clinical based in Charlotte, North Carolina. Lisette Jenee-moore Deese is licensed to practice in North Carolina (license number C010049) and her current practice location is
10130 Perimeter Pkwy, Ste 200, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(888) 849-7379.
NPI number for Lisette Jenee-moore Deese is 1346655891 and her current mailing address is 4542 Raeford Rd Ste A11, Fayetteville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346655891.
Healthcare Provider's Profile
| Full Name | Lisette Jenee-moore Deese |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10130 Perimeter Pkwy, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346655891
- Provider Enumeration Date: 06/24/2014
- Last Update Date: 06/07/2022
Medical Identifiers
Medical identifiers for Lisette Jenee-moore Deese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346655891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3301 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010049 (North Carolina) | 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. Lisette Jenee-moore Deese 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 Address | Practice Location Address |
|---|
Lisette Jenee-moore Deese, LCSWA, LCAS
4542 Raeford Rd Ste A11,
Fayetteville, NC 28304-0076
Ph: (919) 418-9562 | Lisette Jenee-moore Deese, LCSWA, LCAS
10130 Perimeter Pkwy, Ste 200,
Charlotte, NC 28216-2447
Ph: (888) 849-7379 |
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