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

Lisa Vine, LCSW

Individual provider Clinical Social Worker · NPI 1891852661

Lisa Vine, LCSW is a Clinical Social Worker in Stockton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

1305 Tommydon St
Stockton, CA 95210-3364
Phone: (209) 476-5490
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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 LCS22813 (CA)

Record details

NPI number1891852661
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJanuary 3, 2022

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