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

Lisa Dunham, LCSW

Individual provider Clinical Social Worker · NPI 1346590452

Lisa Dunham, LCSW is a Clinical Social Worker in Jefferson, Wisconsin. Qualified in 2007, 19 years ago. Practices with Community Service Associates, SC, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2012
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

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-7424
Fax: (920) 674-7409
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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 7851-123 (WI)

Record details

NPI number1346590452
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 17, 2012
Last updated in NPPESFebruary 9, 2015
Mailing address1541 Annex Rd, Jefferson, WI 53549-9803

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Community Service Associates, Sc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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