Lisa Michelle Ellenburg, LICSW
NPI 1922886779ActiveIndividual· Counselor, Mental Health· Winona, MN
Counselor, Mental Health (LICSW) with Hiawatha Valley Mental Health Center Inc, practicing in Winona, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1922886779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Sep 21, 2023 |
| Last updated in NPPES | Sep 21, 2023 |
| Certified by provider | Sep 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 30822 | MN |
| Social Worker, Clinical | 1041C0700X | 30822 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Hiawatha Valley Mental Health Center IncWinona, MN · 25 clinicians
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