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

MS. Lisa Gayle Vickery, CAC1, LBSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336406529

MS. Lisa Gayle Vickery, CAC1, LBSW is an Addiction (Substance Use Disorder) Counselor in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1400 Cleveland St
Greenville, SC 29607-2410
Phone: (864) 467-3790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1108266 (SC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1068 (SC)

Record details

NPI number1336406529
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAC1 , LBSW
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012

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