# SOURCEWISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598196651
- **Authorized official:** LISA ROBIN WHITMORE LCSW (DIRECTOR OF CARE MANAGEMENT)
- **Authorized official phone:** (408) 350-3278

## Contact information

- **Practice address:** 3100 DE LA CRUZ BLVD STE 310, SANTA CLARA, CA 95054-2452
- **Practice address phone:** (408) 350-3278
- **Mailing address:** 3100 DE LA CRUZ BLVD STE 310, SANTA CLARA, CA 95054-2452
- **Mailing address phone:** (408) 350-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 03/03/2022