Usgaard, Lisa A

Usgaard, Lisa A is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Usgaard, Lisa A can be contacted via phone (608) 756-5555.

Contact Information

Primary practice address
903 Mineral Point Ave Janesville WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3419-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 275-124 Wisconsin

Profile Details

NPI number 1619022282
LBN Legal business name Usgaard, Lisa A
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619022282 NPPES
Wisconsin MEDICAID 1619022282

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