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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA LANELLE WYLY, LCSW

Active Sole Proprietor

MRS. LISA LANELLE WYLY, LCSW is a Clinical Social Worker healthcare provider located in LAKE ISABELLA, California. NPI 1770610040 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAKE ISABELLA, CA

Registration Details

NPI Number
1770610040
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2007 (19.450005551992 yrs)
Last Updated
Apr 18, 2025
Licenses
C8528805 (CA)
ASW98599 (CA)
LCS115572 (CA)
Sole Proprietor
Yes

Practice Information

Address
6412 LAUREL AVE
LAKE ISABELLA, CA, 932409529
Browse CA providers · Browse ZIP 93240
Phone
7604171932
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LAKE ISABELLA, CA

Name Credential NPI
CAROL DANTER LCSW 1841312048
SKYE RENEE' AYALA LOPEZ 1780225086
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.