| Lisa Lebon Williams, | |
|
22916 Jacocks Rd, Slaughter, LA 70777-9615 | |
| (225) 305-8390 | |
| Not Available |
| Full Name | Lisa Lebon Williams |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 22916 Jacocks Rd, Slaughter, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245717701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5385 (Louisiana) | Primary |
| Entity Name | Practicare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649516261 PECOS PAC ID: 2860635224 Enrollment ID: O20130904000344 |
| Entity Name | Lisa Williams Lcsw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366180747 PECOS PAC ID: 0840679510 Enrollment ID: O20220627001910 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lebon Williams, 22916 Jacocks Rd, Slaughter, LA 70777-9615 Ph: (225) 305-8390 | Lisa Lebon Williams, 22916 Jacocks Rd, Slaughter, LA 70777-9615 Ph: (225) 305-8390 |
Jonathan Roy Blanton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3166 Church St, Slaughter, LA 70777 Phone: 225-683-1370 Fax: 225-683-1310 | |
Tara N Messenger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3170 Church St, Slaughter, LA 70777 Phone: 225-683-5292 Fax: 225-683-3411 |