IndividualActive
Lisa Packard
NPI 1053819953 · Clinical Social Worker · Port Orange, FL
Provider details
- NPI number
- 1053819953
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW13499 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
906 Wingate Trl
Port Orange, FL 32128-7524
Phone: (989) 262-9905
Street-level locationGet directions
Mailing address
906 Wingate Trl
Port Orange, FL 32128-7524
Additional practice locations (1)
- 125 S Swoope Ave Ste 110Maitland, FL 32751-5784Phone: (407) 622-0444Fax: (407) 699-0444
Registry dates
- Enumerated
- 2018-01-25
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.