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LISA VINE LCSW
NPI 1891852661
Social Worker - Clinical in Stockton, CA

Active since January 02, 2007PECOS Enrolled
1305 TOMMYDON ST, STOCKTON, CA 95210(209) 476-5490 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Vine Lcsw NPPES

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

LISA VINE LCSW (NPI 1891852661) is an individual clinical provider in Stockton, California, licensed in California (LCS22813) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891852661
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA VINECredential: LCSW
Location Address1305 TOMMYDON STStockton, CA 95210-3364
Mailing Address1305 Tommydon StStockton, CA 95210-3364 · (209) 476-5490
Phone(209) 476-5490
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1891852661 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 · LCS22813
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.
1305 TOMMYDON ST, Stockton, CA 95210
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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 (PECOS)

Lisa Vine 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 95210 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

MARK ALLEN BOURASSA
Counselor (Mental Health)
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (855) 268-4096
DR. ROBERT PHIL PARK PSY.D.
Psychologist
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (209) 476-5211
LINDA LIEM PH.D; LCSW
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (209) 476-2015
DR. THU DAN THI PHAM PH.D.
Psychologist
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (209) 476-5256
PANHIA LO LMFT
Marriage & Family Therapist
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (855) 268-4096
PEGGY LINGARD LCSW
Social Worker (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (855) 268-4096
DR. DAVID EUGENE MACE ED.D., MSCP
Psychologist (Clinical)
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (209) 476-2015
COLLEEN A RIGGS LMFT
Marriage & Family Therapist
1305 TOMMYDON ST
STOCKTON, CA 95210
San Joaquin County (209) 476-3205

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 Vine's NPI number?

The NPI number for Lisa Vine is 1891852661. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Lisa Vine located?

Lisa Vine practices at 1305 Tommydon St, Stockton, CA 95210. The listed phone number is (209) 476-5490.

What is Lisa Vine's specialty?

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

Is Lisa Vine enrolled in Medicare?

Yes. Lisa Vine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Vine was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.