LISA WOLPER
NPI 1871965517
Social Worker - Clinical in Santa Rosa, CA

Q: What is Lisa Wolper's NPI number?

The NPI number for Lisa Wolper is 1871965517. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Q: What is Lisa Wolper's specialty?

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

Q: Is Lisa Wolper enrolled in Medicare?

No. Lisa Wolper has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wolper was last updated on October 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 21, 2015Opted out of Medicare · through Apr 1, 2028

825 COLLEGE AVE, SANTA ROSA, CA 95404(707) 524-8864(707) 544-0663 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa Wolper NPPES

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

LISA WOLPER (NPI 1871965517) is an individual clinical provider in Santa Rosa, California, licensed in California (LCS12890) and active in the NPI registry since October 2015. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1871965517

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISA WOLPER

Location Address825 COLLEGE AVESanta Rosa, CA 95404-4108

Mailing Address825 College AveSanta Rosa, CA 95404-4108 · (707) 524-8864 · Fax (707) 544-0663

Phone(707) 524-8864

Fax(707) 544-0663

Sole ProprietorYes

Enumeration DateOctober 21, 2015

✔ NPI 1871965517 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 · LCS12890

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.

825 COLLEGE AVE, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Wolper has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 18

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

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