Provider Demographics
NPI:1295889160
Name:ROOD, LISANNA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LISANNA
Middle Name:
Last Name:ROOD
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 1:1221 STATE STREET STE 12
Mailing Address - Street 2:#90824
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101
Mailing Address - Country:US
Mailing Address - Phone:925-695-7956
Mailing Address - Fax:
Practice Address - Street 1:324 W ARRELLAGA ST APT 7
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2942
Practice Address - Country:US
Practice Address - Phone:925-451-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS124631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4175537Medicaid
CA4175537Medicaid