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

MS. Lisa Teixeira

Individual provider Clinical Social Worker · NPI 1063635001

MS. Lisa Teixeira is a Clinical Social Worker in Modesto, California. Qualified in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

4125 Bangs Ave
Modesto, CA 95356-8713
Phone: (209) 557-2314
Fax: (209) 557-1764
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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 LCS25717 (CA)

Record details

NPI number1063635001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESDecember 30, 2021
Mailing address4125 Bangs Ave, Modesto, CA 95356-8713

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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