MRS. LISA MICHELE DERALEAU LCSW
NPI 1235159971
Social Worker - Clinical in Fort Stewart, GA

Active since July 19, 2006
1061 HARMON AVE, FORT STEWART, GA 31314(800) 652-9211 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Michele Deraleau Lcsw NPPES

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

MRS. LISA MICHELE DERALEAU LCSW (NPI 1235159971) is an individual clinical provider in Fort Stewart, Georgia, licensed in Florida (SW6367) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1235159971
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA MICHELE DERALEAUCredential: LCSW
Location Address1061 HARMON AVEFort Stewart, GA 31314-5641
Mailing Address1061 Harmon AveFort Stewart, GA 31314-5641
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 23, 2016
NPI 1235159971 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 · SW6367
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.

1061 HARMON AVE, Fort Stewart, GA 31314

Other Names 1

Former Name (1)Miss Lisa Michele Powanda Lcsw

Other Identifiers 2

Medicaid763219300FL
Medicare UPIN1235159971FL

Other Providers at the Same Location NPPES 20

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

Optometrist
1061 HARMON AVE, USAMEDDAC
FORT STEWART, GA 31314
Nurse Anesthetist, Certified Registered
1061 HARMON AVE
FORT STEWART, GA 31314
Pharmacist
1061 HARMON AVE
FORT STEWART, GA 31314
Psychologist (Clinical)
1061 HARMON AVE, STE 1D03
FT STEWART, GA 31314
Specialist
1061 HARMON AVE, 1D03
FORT STEWART, GA 31314
Radiology (Diagnostic Radiology)
1061 HARMON AVE, DEPARTMENT OF RADIOLOGY WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Social Worker (Clinical)
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314
Nurse Practitioner (Pediatrics)
1061 HARMON AVE, SUITE 1D03
FORT STEWART, GA 31314

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 Deraleau's NPI number?

The NPI number for Lisa Deraleau is 1235159971. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Miss Lisa Michele Powanda Lcsw.

Where is Lisa Deraleau located?

Lisa Deraleau practices at 1061 Harmon Ave, Fort Stewart, GA 31314. The listed phone number is (800) 652-9211.

What is Lisa Deraleau'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 Deraleau was last updated on May 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.