Lisa Rose McDermott, LSW, LCADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05930500 Issued in NJ

Practice address

654 E Jersey St
Elizabeth, NJ 07206-1261

Phone

(908) 994-7552

Fax

(908) 994-7554

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1023523529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BORELLE SQ",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592302",
            "telephone_number": "973-900-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061261",
            "telephone_number": "908-994-7552",
            "fax_number": "908-994-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "LISA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00233400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05930500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria M Mayancela
• Erika Lynn Mayer, PA-C
• James Frances McAnally, MD, FACC, FACP, PA
• Mary McAndrew, NP
• Jenna Rae McCook, LCSW
• William J McHugh, MD
• Shannon McLoughlin Daley, APN
• MD Care Urgent Center LLC
• MD Medical Center Inc
• MD Specialty & Urgent Care Center PC

• Social Worker in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.