Lisa A Antonick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006509 Issued in NC

Practice address

105 Longleaf PL
Cary, NC 27518-8919

Phone

(518) 669-1798

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

Yes

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.

• Spectrum Recovery Inc

  • Community/Behavioral Health Agency
  • Sanford, NC
  • NPI 1396288072

  NC

  Medicare reassignment Care Compare group NPD
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  NC

  Medicare reassignment
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MA

  Medicare reassignment
• Solas Health PLLC

  • Anesthesiology Physician
  • Pinehurst, NC
  • NPI 1710046925
  NPD
• Community Connections Healthcare Services, LLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1073748992

  Clinical

  NPD (past)
• VC Associates Inc

  • Community/Behavioral Health Agency
  • Sanford, NC
  • NPI 1790845295
  NPD (past)
• Koock E Jung MD PC

  • Psychiatry Physician
  • Queensbury, NY
  • NPI 1821275256

  Clinical

  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Recovery, Inc 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2026.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1043229016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LONGLEAF PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188919",
            "telephone_number": "518-669-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LONGLEAF PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188919",
            "telephone_number": "518-669-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONICK",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NE NY",
            "identifier": "000403187001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NORTH CAROLINA",
            "identifier": "GROUP NUMBER",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "248368",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02348474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "N7L561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "257617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "326051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "537788000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007404",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426032094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "361170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Ansah
• Anthony Nettey-Marbell, DDS PLLC
• Camryn Anthony
• Michael Lamar Anthony, MD
• Renette Antoine
• Anuja K Antony, M.D.
• Anu Antony MD PLLC
• Mohammad Saeed Anwar, MD
• Apex Eye Associates, PLLC
• Apex Mental Health, PLLC

• All providers in Cary, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.