Healthcare Provider Details

I. General information

NPI: 1407455587
Provider Name (Legal Business Name): LISA WOJNAROWSKI LISW-CP, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA PLUMLEY LISW-CP

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 MARKET ST STE 10222
SAN FRANCISCO CA
94114-1612
US

IV. Provider business mailing address

500 WESTOVER DR # 11874
SANFORD NC
27330-8941
US

V. Phone/Fax

Practice location:
  • Phone: 415-360-3348
  • Fax:
Mailing address:
  • Phone: 847-732-3996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11820
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904015859
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06711700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: