Individual provider · Type 1 NPI

Lisa Lanelle Wyly, LCSW

Clinical Social Worker · Lake Isabella, CA

NPI number 1770610040 Active

Practice location

6412 Laurel Ave
Lake Isabella, CA 93240-9529

Call (760) 417-1932 Map

Mailing address

P.o. Box 363
Wofford Heights, CA 93285

Other practice locations

  • 14 Sierra Drive, Kernville, CA 93238 · (760) 417-1932

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC8528805 (CA)
Clinical Social Worker 1041C0700XASW98599 (CA)
Clinical Social Worker Primary 1041C0700XLCS115572 (CA)

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…

9 other providers at this address

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About NPI 1770610040

Lisa Lanelle Wyly, LCSW's National Provider Identifier is 1770610040, issued on Feb 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Isabella, CA. The record was last updated on Apr 18, 2025.