NPI 1306799655
Lisa Mecham, LICSW
Practice location
- Address
- 9040 Jackson Ave, Apo, AA 98431
- Phone
- (253) 968-1110
- Mailing address
- 930 W Center St, Pocatello, ID 83204-4249
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1306799655
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Feb 2026
- Record last updated
- 17 Feb 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.