Liles, Lisa Shinako

Liles, Lisa Shinako is an individual health care provider with primary practice located at 802 Brewster Ave , Redwood City CA 94063-1510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Liles, Lisa Shinako can be contacted via phone (650) 363-4111.

Contact Information

Primary practice address
802 Brewster Ave Redwood City CA 94063-1510
Phone: (650) 363-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ACSW95666 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW129569 California

Profile Details

NPI number 1548752819
LBN Legal business name Liles, Lisa Shinako
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2018
Last updated May 1st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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