SHELLEY WISDOM-LAZAR LCSW
NPI 1467725028
Social Worker - Clinical in San Diego, CA

Active since February 13, 2012PECOS EnrolledAccepts Medicare Assignment
1267 ROSECRANS ST STE E, SAN DIEGO, CA 92106(619) 540-7811(858) 755-2416 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2021, Mar 8, 2018, Mar 24, 2016 (3 updates tracked since 2016).

About Shelley Wisdom-lazar Lcsw NPPES

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

SHELLEY WISDOM-LAZAR LCSW (NPI 1467725028) is an individual clinical provider in San Diego, California, licensed in California (SW61046) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467725028
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLEY WISDOM-LAZARCredential: LCSW
Location Address1267 ROSECRANS ST STE ESan Diego, CA 92106-2692
Mailing AddressPo Box 3695Rancho Santa Fe, CA 92067-3695 · (619) 540-7811
Fax(858) 755-2416
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 13, 2012
Last NPPES UpdateJune 9, 20213 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
NPI 1467725028 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 · SW61046
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.

1267 ROSECRANS ST STE E, San Diego, CA 92106

Other Names 1

Other Name (5)Rachelle Wisdom-lazar Lcsw

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

Shelley Wisdom-lazar 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 ID1850619891
PECOS Enrollment IDI20170707000885
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
277 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92106 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 2

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

Marriage & Family Therapist
1267 ROSECRANS ST STE E
SAN DIEGO, CA 92106
Clinic/Center (Mental Health (Including Community Mental Health Center))
1267 ROSECRANS ST STE E
SAN DIEGO, CA 92106

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 Shelley Wisdom-lazar's NPI number?

The NPI number for Shelley Wisdom-lazar is 1467725028. It was assigned to this individual provider in the NPPES registry on February 13, 2012. The provider is also known as Rachelle Wisdom-Lazar Lcsw.

Where is Shelley Wisdom-lazar located?

Shelley Wisdom-lazar practices at 1267 Rosecrans St Ste E, San Diego, CA 92106. The listed phone number is (619) 540-7811.

What is Shelley Wisdom-lazar's specialty?

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

Is Shelley Wisdom-lazar enrolled in Medicare?

Yes. Shelley Wisdom-lazar 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 Shelley Wisdom-lazar was last updated on June 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.