Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Ayn Tange, LCSW

Individual provider Clinical Social Worker · NPI 1043032691

Lisa Ayn Tange, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 1993, 33 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11515 El Camino Real Ste 100
San Diego, CA 92130-3034
Phone: (858) 279-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20759 (CA)

Record details

NPI number1043032691
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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