Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. LISA WACKERMAN IWANOWSKI
Active
Individual
MRS. LISA WACKERMAN IWANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,MSW,BA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057192
—
CT
01
—
060669107
ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT
01
—
12427443
CAQH
CT
01
—
4299867
CIGNA BEHAVIORAL HEALTH
CT
01
—
D339123-141 E MAIN
BEACON HEALTH STRATEGIES
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
07/18/2008
Last updated
12/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up