MEDICARE: LISA YVETTE WISEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1871441683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA YVETTE WISEMAN

Provider Business Mailing Address
First Line	:	849 FAIRMOUNT AVE FL 5
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-2624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 E DIAMOND AVE STE 100
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-5321
Country	:	US
Telephone Number	:	301-840-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

Similar Medicare Providers

1740270354 — DR. HECTOR JORGE PARADA MD
Practice Location Address:

610 E DIAMOND AVE , SUITE 100A
GAITHERSBURG, MD
20877-5321

Practice Phone: 301-840-3200
Practice Fax:

1518958669 — THE FAMILY SERVICES AGENCY, INC.
Practice Location Address:

610 E DIAMOND AVE , SUITE 100
GAITHERSBURG, MD
20877-5321

Practice Phone: 301-840-2000
Practice Fax: 301-840-9621

1780641928 — FAMILY SERVICES, INC
Practice Location Address:

610 E DIAMOND AVE , SUITE 100
GAITHERSBURG, MD
20877-5321

Practice Phone: 301-840-2000
Practice Fax: 301-840-9621

1861410128 — THE FAMILY SERVICES AGENCY
Practice Location Address:

610 E DIAMOND AVE , SUITE 100
GAITHERSBURG, MD
20877-5321

Practice Phone: 301-840-3268
Practice Fax: 301-840-1348

1215012745 — MS. KARLA JEAN ABNEY LGSW, LMSW
Practice Location Address:

610 E DIAMOND AVE STE 100
GAITHERSBURG, MD
20877-5321

Practice Phone: 410-840-3200
Practice Fax:

1659437671 — ALAN OTTO KOGAN M.D.
Practice Location Address:

610 E DIAMOND AVE , SUITE 100A
GAITHERSBURG, MD
20877-5321

Practice Phone: 301-840-3200
Practice Fax: 301-840-1348

Directions to “ LISA YVETTE WISEMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.