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LISA AYN TANGE LCSW
NPI 1043032691
Social Worker - Clinical in San Diego, CA

Active since October 25, 2024PECOS EnrolledAccepts Medicare Assignment
11515 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130(858) 279-1223 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Ayn Tange Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA AYN TANGE LCSW (NPI 1043032691) is an individual clinical provider in San Diego, California, licensed in California (20759) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1043032691
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA AYN TANGECredential: LCSW
Location Address11515 EL CAMINO REAL STE 100San Diego, CA 92130-3034
Mailing Address11515 El Camino Real Ste 100San Diego, CA 92130-3034
Phone(858) 279-1223
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 25, 2024
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1043032691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 20759
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11515 EL CAMINO REAL STE 100, San Diego, CA 92130
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Ayn Tange Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012437171
PECOS Enrollment IDI20250220001107
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SDFC IVF AND ANDROLOGY LABORATORY
Clinical Medical Laboratory
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
ELIZABETH DUVALL PSYD
Psychologist (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
AZAD MATARI MD
Psychiatry & Neurology (Psychiatry)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
DR. LAURA K SEIBERT PHD, LP
Psychologist (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
DR. SHREESH KESHAVA PRASAD MD
Psychiatry & Neurology (Psychiatry)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
LAURA STEDER-MYERS LCSW
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 256-8674
LAURA ELAINE EASLER LCSW
Social Worker (Clinical)
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223
WALKER GREGORY DE WITT LMFT
Marriage & Family Therapist
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130
San Diego County (858) 279-1223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Tange's NPI number?

The NPI number for Lisa Tange is 1043032691. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Lisa Tange located?

Lisa Tange practices at 11515 El Camino Real Ste 100, San Diego, CA 92130. The listed phone number is (858) 279-1223.

What is Lisa Tange's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Tange enrolled in Medicare?

Yes. Lisa Tange is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Tange was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.