Lisa C Carr, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013500 Issued in NC

Practice address

1400 Willow LN # C61-2
North Wilkesboro, NC 28659

Phone

(336) 667-5151

Fax

(336) 838-3133

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Certus Psychiatry and Integrated Care PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1609317569
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1013579689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW LN # C61-2",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-667-5151",
            "fax_number": "336-838-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "942 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012582",
            "country_code": "US",
            "telephone_number": "336-777-6160",
            "fax_number": "336-546-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Carlton Jr., LAT, ATC
• Lindsay Morgan Carlyle
• Carolina Diagnostics, Inc.
• Carolina Mobility Specialists
• Carolina Prime Physical Therapy
• Jose R Carrasquillo, MD
• Kaitlin Carroll
• Sandy Stewart Casey, CRNA
• Erin Cashwell, RD
• Gabrielle Dior Catanzaro, LPC

• Clinical Social Worker in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.