LISA MARIE PEDERSEN LCSW
NPI 1386857845
Social Worker - Clinical in Harbor City, CA

Active since May 08, 2007PECOS Enrolled
25825 VERMONT AVE, HARBOR CITY, CA 90710(424) 251-7791 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2021, Jun 3, 2020 (2 updates tracked since 2020).

About Lisa Marie Pedersen Lcsw NPPES

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

LISA MARIE PEDERSEN LCSW (NPI 1386857845) is an individual clinical provider in Harbor City, California, licensed in California (LCS17867) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386857845
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MARIE PEDERSENCredential: LCSW
Location Address25825 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (424) 251-7791
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
NPI 1386857845 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 · LCS17867
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.

25825 VERMONT AVE, Harbor City, CA 90710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Marie Pedersen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90710 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Obstetrics & Gynecology
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE, APT CLINIC - PARKVIEW 3RD FL, ROOM 3114
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386857845, enumerated as an "individual" on May 08, 2007.

The provider is located at 25825 VERMONT AVE HARBOR CITY, CA 90710 and the phone number is (424) 251-7791.

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