Individual provider Active NPI

Lisa Beth Anger, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1063501450
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2474 Issued in GA
Practice address
500 N Milledge Ave
Suite 219
Athens, GA 30601-3810
Phone
(706) 540-6249
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2474 GA Primary

Addresses

Primary practice location

500 N Milledge Ave
Suite 219
Athens, GA 30601-3810

Mailing address

160 Timberlane Dr
Athens, GA 30606-2400
Phone (706) 540-6249

Other identifiers 1

IdentifierTypeStateIssuer
833623732AMedicaidGA

Other names 1

  • Lisa Beth Wurzburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2474GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1063501450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 TIMBERLANE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062400",
            "telephone_number": "706-540-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MILLEDGE AVE",
            "address_2": "SUITE 219",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013810",
            "telephone_number": "706-540-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGER",
        "first_name": "LISA",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833623732A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WURZBURG",
            "middle_name": "BETH",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.