Individual provider · Type 1 NPI

Raymond C. Lisauckis, LCSW

Clinical Social Worker · Waco, TX

NPI number 1255331013 Active

Practice location

4800 Memorial Dr, Va Medical Center (124-VIST-W)
Waco, TX 76711-1329

Call (254) 297-3123 Map

Fax (243) 297-5387

Mailing address

800 Evergreen Ln
Burleson, TX 76028-8410

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS03283 (TX)
Social Worker 104100000X03283 (TX)
Mental Health Counselor 101YM0800X03283 (TX)
Counselor 101Y00000X03283 (TX)
Case Manager/Care Coordinator 171M00000X03283 (TX)

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 1255331013

Raymond C. Lisauckis, LCSW's National Provider Identifier is 1255331013, issued on Jul 22, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waco, TX. The record was last updated on Oct 21, 2008.