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MRS. LYSETTE NANA ETTI
NPI 1992990519
Social Worker in Lake Elsinore, CA

Active since September 06, 2007PECOS Enrolled
31681 RIVERSIDE DR, SUITE L, LAKE ELSINORE, CA 92530(951) 674-9243 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Lysette Nana Etti NPPES

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

MRS. LYSETTE NANA ETTI (NPI 1992990519) is an individual social worker in Lake Elsinore, California, licensed in California (24469) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992990519
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. LYSETTE NANA ETTI
Location Address31681 RIVERSIDE DR, SUITE LLake Elsinore, CA 92530-7815
Mailing Address31681 Riverside Dr, Suite LLake Elsinore, CA 92530-7815 · (951) 674-9243
Phone(951) 674-9243
Sole ProprietorYes
Enumeration DateSeptember 6, 2007
Last NPPES UpdateDecember 23, 2010
✔ NPI 1992990519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 24469
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
31681 RIVERSIDE DR, Lake Elsinore, CA 92530
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lysette Nana Etti 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.

Medicare Billing Reassignment

Medicare enrollment records show Lysette Etti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindshift Psychological Services Inc
16 mi
Marriage & Family Therapist
1101 CALIFORNIA AVE STE 100
Corona, CA 92881
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1124656194 (714) 584-9700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LAKESIDE PHARMACY
Pharmacy (Community/Retail Pharmacy)
31681 RIVERSIDE DR, STE D
LAKE ELSINORE, CA 92530
Riverside County (951) 245-7699
SHANNON ELIZABETH PULSIFER MFTI
Marriage & Family Therapist
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
LISSETT TORRESS
Counselor
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
IVAN NEGRETE
Counselor
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
RANDY L.EE ROZAR MFTI
Marriage & Family Therapist
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
MR. RUBEN TORRES LOPEZ MFTI
Marriage & Family Therapist
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
JARED BRYSON IMFT
Counselor (Mental Health)
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243
CLAUDIA GISELA GUILLEN-MEDRANO
Counselor
31681 RIVERSIDE DR, SUITE L
LAKE ELSINORE, CA 92530
Riverside County (951) 674-9243

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 Lysette Etti's NPI number?

The NPI number for Lysette Etti is 1992990519. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Lysette Etti located?

Lysette Etti practices at 31681 Riverside Dr Suite L, Lake Elsinore, CA 92530. The listed phone number is (951) 674-9243.

What is Lysette Etti's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Lysette Etti enrolled in Medicare?

Yes. Lysette Etti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lysette Etti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lysette Etti reassigns Medicare benefits to Mindshift Psychological Services Inc (Corona, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lysette Etti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lysette Etti was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.