MEDICARE: MS. LISA EILEEN SANCHEZ 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	23250	AZ
2	1041C0700X	Clinical Social Worker	149015818	IL

General Provider Information

NPI Number	:	1548692726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA EILEEN SANCHEZ LCSW

Provider Business Mailing Address
First Line	:	PO BOX 746093
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6093
Country	:	US
Telephone Number	:	602-671-7066
Fax Number	:	602-671-6908

Provider Business Practice Location Address
First Line	:	3833 E THOMAS RD STE A2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-7523
Country	:	US
Telephone Number	:	602-671-7066
Fax Number	:	602-671-6908

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

Provider Enumeration Date	:	07/30/2013
Last Update Date	:	12/22/2025

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