Provider Demographics
NPI:1821394693
Name:CAYA, LISA MARNETTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MARNETTE
Last Name:CAYA
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 1:4 GROGANS MILL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2416
Mailing Address - Country:US
Mailing Address - Phone:210-859-7904
Mailing Address - Fax:
Practice Address - Street 1:4 GROGANS MILL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-2416
Practice Address - Country:US
Practice Address - Phone:210-859-7904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX161581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical