Lisa Grossenbacher, LCSW is a
Social Worker - Clinical based in Edmond, Oklahoma. Lisa Grossenbacher is licensed to practice in Oklahoma (license number 4276) and her current practice location is
1603 E 19th St Ste 105, Edmond, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 568-1950.
NPI number for Lisa Grossenbacher is 1013157510 and her current mailing address is 1603 E 19th St Ste 105, Edmond, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013157510.
Healthcare Provider's Profile
Full Name | Lisa Grossenbacher |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1603 E 19th St Ste 105, Edmond, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013157510
- Provider Enumeration Date: 02/24/2009
- Last Update Date: 08/07/2023
Medical Identifiers
Medical identifiers for Lisa Grossenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013157510 | NPI | - | NPPES |
200362310A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 4276 (Oklahoma) | 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. Lisa Grossenbacher 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 |
Lisa Grossenbacher, LCSW 1603 E 19th St Ste 105, Edmond, OK 73013-6563 Ph: (405) 568-1950 | Lisa Grossenbacher, LCSW 1603 E 19th St Ste 105, Edmond, OK 73013-6563 Ph: (405) 568-1950 |
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