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LISA PACKARD
NPI 1053819953
Social Worker - Clinical in Port Orange, FL

Active since January 25, 2018
906 WINGATE TRL, PORT ORANGE, FL 32128(989) 262-9905 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Packard NPPES

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

LISA PACKARD (NPI 1053819953) is an individual clinical provider in Port Orange, Florida, licensed in Florida (SW13499) and active in the NPI registry since January 2018. She maintains a secondary practice location in Maitland.

NPPES Registry Identity

NPI1053819953
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA PACKARD
Location Address906 WINGATE TRLPort Orange, FL 32128-7524
Mailing Address906 Wingate TrlPort Orange, FL 32128-7524 · (989) 262-9905
Phone(989) 262-9905
Sole ProprietorYes
Enumeration DateJanuary 25, 2018
Last NPPES UpdateMarch 17, 2018
✔ NPI 1053819953 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 FL · SW13499
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.
906 WINGATE TRL, Port Orange, FL 32128
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Secondary Practice Location 1

Location 1125 S Swoope Ave Ste 110Maitland, FL 32751-5784 · Phone (407) 622-0444 ext. 513 · Fax (407) 699-0444

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 Packard's NPI number?

The NPI number for Lisa Packard is 1053819953. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Lisa Packard located?

Lisa Packard practices at 906 Wingate Trl, Port Orange, FL 32128. The listed phone number is (989) 262-9905.

What is Lisa Packard's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Packard was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.