LISA VINNACOMBE MSS, MLSP, LCSW
NPI 1194186411
Social Worker - Clinical in Philadelphia, PA

Active since March 14, 2016
2133 ARCH ST STE 302, PHILADELPHIA, PA 19103(484) 367-5808 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 30, 2023, Mar 14, 2016 (2 updates tracked since 2016).

About Lisa Vinnacombe Mss, Mlsp, Lcsw NPPES

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

LISA VINNACOMBE MSS, MLSP, LCSW (NPI 1194186411) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW019591) and active in the NPI registry since March 2016. She maintains a secondary practice location in Philadelphia.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1194186411
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA VINNACOMBECredential: MSS, MLSP, LCSW
Location Address2133 ARCH ST STE 302Philadelphia, PA 19103-1479
Mailing Address2133 Arch St Ste 302Philadelphia, PA 19103-1479 · (484) 367-5808
Sole ProprietorYes
Enumeration DateMarch 14, 2016
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
NPI 1194186411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in PA · CW019591
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.

Also ListedSocial WorkerTaxonomy 104100000X · License SW128855 (PA)
2133 ARCH ST STE 302, Philadelphia, PA 19103

Secondary Practice Location 1

Location 1230 S Broad St Ste 1305Philadelphia, PA 19102-4104 · Phone (215) 545-1175

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194186411, enumerated as an "individual" on March 14, 2016.

The provider is located at 2133 ARCH ST STE 302 PHILADELPHIA, PA 19103 and the phone number is (484) 367-5808.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.