Provider Demographics
NPI:1770852790
Name:SPINDLE, LISA (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SPINDLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1895 AVENIDA DEL ORO # 5616
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5800
Mailing Address - Country:US
Mailing Address - Phone:442-222-7210
Mailing Address - Fax:619-330-1899
Practice Address - Street 1:247 RIVERVIEW WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-5827
Practice Address - Country:US
Practice Address - Phone:442-222-7210
Practice Address - Fax:619-330-1899
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA871741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical