| Doctor Name: | LISA TOCKMAN |
| NPI Number: | 1053605824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ASW 29278 |
| Business Practice Address: | 9650 Zelzah Ave Northridge, CA - 913252003 |
| Business Phone Number: | 8189939311 |
| Business Fax Number: | |
| Mailing Address: | 9650 Zelzah Ave, NORTHRIDGE |
| State: | CA |
| Postal Code: | 913252003 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2011 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ASW 29278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |