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

Q: 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.

Q: What is Lysette Etti's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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