MRS. LISA LANELLE WYLY LCSW
NPI 1770610040
Social Worker - Clinical in Lake Isabella, CA

Q: What is Lisa Wyly's NPI number?

The NPI number for Lisa Wyly is 1770610040. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Lisa Wyly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Wyly was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment

6412 LAUREL AVE, LAKE ISABELLA, CA 93240(760) 417-1932 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, Aug 26, 2021 (2 updates tracked since 2021).

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About Mrs. Lisa Lanelle Wyly Lcsw NPPES

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

MRS. LISA LANELLE WYLY LCSW (NPI 1770610040) is an individual clinical provider in Lake Isabella, California, licensed in California (LCS115572) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770610040

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. LISA LANELLE WYLYCredential: LCSW

Location Address6412 LAUREL AVELake Isabella, CA 93240-9529

Mailing AddressP.o. Box 363Wofford Heights, CA 93285 · (760) 417-1932 · Fax (760) 376-3034

Phone(760) 417-1932

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 27, 2007

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1770610040 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

Licenses✔ Licensed in CA · LCS115572✔ Licensed in CA · ASW98599

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C8528805 (CA)

6412 LAUREL AVE, Lake Isabella, CA 93240

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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

Mrs. Lisa Lanelle Wyly 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 ID8628424918

PECOS Enrollment IDI20231023001956

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 93240 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 $59.26 – $178.09

Typical copayment $0.00 (range $14.81 – $44.52)

Most-billed visit code NA

Established Patient

$73.67 typical visit price

range $19.34 – $145.64

Typical copayment $18.41 (range $4.83 – $36.41)

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 9

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

MISS TIFFANY CLARICE FRIESON M.S., R.D.N.

Dietitian, Registered

6412 LAUREL AVE
LAKE ISABELLA, CA 93240

Kern County (760) 379-2681

CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION

Emergency Medicine

6412 LAUREL AVE, MOUNTAIN MESA
LAKE ISABELLA, CA 93240

Kern County (469) 401-2386

PAUL ANDREW LINCOLN GIEM MD

Internal Medicine

6412 LAUREL AVE, MOUNTAIN MESA
LAKE ISABELLA, CA 93240

Kern County (760) 379-2681

ISABELLA EMERGENCY PHYSICIANS

Emergency Medicine

6412 LAUREL AVE, MOUNTAIN MESA
LAKE ISABELLA, CA 93240

Kern County (760) 379-2681

KERN VALLEY HEALTHCARE DISTRICT

General Acute Care Hospital (Critical Access)

6412 LAUREL AVE
LAKE ISABELLA, CA 93240

Kern County (760) 379-2681

MIKE P FEALY MD

Emergency Medicine

6412 LAUREL AVE, MOUNTAIN MESA
LAKE ISABELLA, CA 93240

Kern County (760) 379-2681

DR. CHRISTOPHER R BURROWS M.D.

Emergency Medicine

6412 LAUREL AVE
LAKE ISABELLA, CA 93240

Kern County (760) 379-2681

REGIONAL IMAGING, PC

Radiology (Diagnostic Radiology)

6412 LAUREL AVE
MOUNTAIN MESA, CA 93240

Kern County (760) 379-2681

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 Wyly's NPI number?

The NPI number for Lisa Wyly is 1770610040. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Lisa Wyly located?

Lisa Wyly practices at 6412 Laurel Ave, Lake Isabella, CA 93240. The listed phone number is (760) 417-1932.

What is Lisa Wyly's specialty?

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

Is Lisa Wyly enrolled in Medicare?

Yes. Lisa Wyly 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 Lisa Wyly was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.