LISA MOWBRAY (MSW) – Clinical Social Worker, NPI 1205852886

LISA MOWBRAY (MSW) is a healthcare provider. based in Portage, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 677 (WI). The NPI Number for LISA MOWBRAY (MSW) is 1205852886

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
LISA MOWBRAY (MSW)
NPI
1205852886
Phone
(608) 742-5518
Address
2901 HUNTERS TRL
Enumeration Date
15 July 2006
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087425518
Graduation Year
1991 (35 years ago)
PAC ID
5496054561
Group Practice PAC ID
8426948746
Professional Enrollment ID
I20160425002020
Address ID
WI539013403PO2901XTRLX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for LISA MOWBRAY (MSW)

  • 2901 HUNTERS TRL

    PORTAGE, WI 539013403

    Phone: (608) 742-5518

    Fax: (608) 742-4087

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160425002020IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour22129$0
90834Psychotherapy, 45 minutes4319$0
View full utilization report →

Insurance plans in this area (ZIP 53901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426948746View full group profile
NameSpecialtyState
-WI
Clinical PsychologistWI
Nurse PractitionerWI
Clinical Social WorkerWI
-WI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What federal number belongs to LISA MOWBRAY (MSW)?
The federal identifier for LISA MOWBRAY (MSW) is NPI 1205852886.
Is LISA MOWBRAY (MSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LISA MOWBRAY (MSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for LISA MOWBRAY (MSW). Clinical services aligned with this taxonomy classification.
What location shows for LISA MOWBRAY (MSW)?
We surface Portage, Wisconsin for LISA MOWBRAY (MSW) based on available NPPES addresses.
Is LISA MOWBRAY (MSW) a real provider?
This page reflects official NPPES data for NPI 1205852886. Always confirm identity and privileges with the practice and licensing boards.

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