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LISA MICHELLE WYNEKEN MSW, LCSW
NPI 1801138763
Social Worker - Clinical in San Diego, CA

Active since March 19, 2013PECOS EnrolledAccepts Medicare Assignment
2423 CAMINO DEL RIO S STE 205, SAN DIEGO, CA 92108(775) 338-0773(775) 201-0452 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2022, Jul 21, 2022, Aug 17, 2017 (3 updates tracked since 2017).

About Lisa Michelle Wyneken Msw, Lcsw NPPES

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

LISA MICHELLE WYNEKEN MSW, LCSW (NPI 1801138763) is an individual clinical provider in San Diego, California, licensed in California (LCSW77559) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1801138763
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MICHELLE WYNEKENCredential: MSW, LCSW
Location Address2423 CAMINO DEL RIO S STE 205San Diego, CA 92108-3735
Mailing Address2423 Camino Del Rio S Ste 205San Diego, CA 92108-3735 · (775) 338-0773 · Fax (775) 201-0452
Phone(775) 338-0773
Fax(775) 201-0452
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 19, 2013
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1801138763 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 · LCSW77559
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.
2423 CAMINO DEL RIO S STE 205, San Diego, CA 92108
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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

Lisa Michelle Wyneken Msw, 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 ID9335405562
PECOS Enrollment IDI20171103002419
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.
634 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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 3

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

KELLY NICOLE REIN LCSW
Social Worker (Clinical)
2423 CAMINO DEL RIO S STE 205
SAN DIEGO, CA 92108
San Diego County (760) 410-8609
MARJORIE FRANCISCO NOY LCSW
Social Worker (Clinical)
2423 CAMINO DEL RIO S STE 205
SAN DIEGO, CA 92108
San Diego County (760) 925-2590
DR. DRUCILLA ANN RUOCCO PH.D.
Psychologist
2423 CAMINO DEL RIO S STE 205
SAN DIEGO, CA 92108
San Diego County (619) 283-2184

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 Wyneken's NPI number?

The NPI number for Lisa Wyneken is 1801138763. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Lisa Wyneken located?

Lisa Wyneken practices at 2423 Camino Del Rio S Ste 205, San Diego, CA 92108. The listed phone number is (775) 338-0773.

What is Lisa Wyneken's specialty?

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

Is Lisa Wyneken enrolled in Medicare?

Yes. Lisa Wyneken 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 Wyneken was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.