Individual provider · Type 1 NPI

John J. Lisy Jr., LISW

Clinical Social Worker · Westlake, OH

NPI number 1144921677 Active

Practice location

24500 Center Ridge Rd Ste 110
Westlake, OH 44145-5604

Mailing address

2419 Derbyshire Rd
Cleveland Heights, OH 44106-2725

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XE0000387 (OH)
Clinical Social Worker Primary 1041C0700XI0000993 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1144921677

John J. Lisy Jr., LISW's National Provider Identifier is 1144921677, issued on Mar 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westlake, OH. The record was last updated on Mar 13, 2023.