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

MS. M. Lise Moulton, LISW

Individual provider Social Worker · NPI 1619079886

MS. M. Lise Moulton, LISW is a Social Worker in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

5105 Som Center Rd
Willoughby, OH 44094-4203
Phone: (216) 621-5600
Fax: (216) 479-5554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I-0004208 (OH)

Record details

NPI number1619079886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJuly 8, 2007

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