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

Lissa A Wick

Individual provider Clinical Social Worker · NPI 1649850389

Lissa A Wick is a Clinical Social Worker in Port Townsend, Washington. Qualified in 2020, 6 years ago. Practices with Jefferson Community Counseling Center, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021

Practice location Address checks out

884 W Park Ave
Port Townsend, WA 98368-2273
Phone: (360) 385-0321
Fax: (360) 379-5534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1649850389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing addressPo Box 565, Port Townsend, WA 98368-0565

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jefferson Community Counseling Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Townsend