MEDICARE: LISA DUBBERT LCSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1376422204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA DUBBERT LCSW

Provider Business Mailing Address
First Line	:	71 WILKES CRESCENT DR
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2933
Country	:	US
Telephone Number	:	828-507-4258
Fax Number	:

Provider Business Practice Location Address
First Line	:	71 WILKES CRESCENT DR
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2933
Country	:	US
Telephone Number	:	828-507-4258
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/THERAPIST
Name	:	LISA DUBBERT
Credential	:	LCSW
Telephone Number	:	828-507-4258

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	03/19/2026

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