Individual provider Active NPI

Lisa Marie Weiss, MSW LCSW

  • Clinical Social Worker
  • Branchburg, NJ
National Provider Identifier
1083275572
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06061600 Issued in NJ
Practice address
3322 US Highway 22 Ste 1401
Branchburg, NJ 08876-4407
Phone
(908) 242-3634
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06487500 NJ
Clinical Social Worker 1041C0700X 44SC06061600 NJ Primary

Addresses

Primary practice location

3322 US Highway 22 Ste 1401
Branchburg, NJ 08876-4407

Mailing address

3322 US Highway 22 Ste 1401
Branchburg, NJ 08876-4407
Phone (908) 242-3634

Other practice location 1

3322 US Highway 22 Ste 1401
Branchburg, NJ 08876-4407
Phone (908) 242-3634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 22, 2022 through Jun 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06487500NJMDSocial Worker
44SC06061600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Minds Psychological Services Clinical PastSince May 12, 2024 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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1083275572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 1401",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764407",
            "telephone_number": "908-242-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 1401",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764407",
            "telephone_number": "908-242-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 US Highway 22 Ste 1401",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088764407",
            "country_code": "US",
            "telephone_number": "908-242-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06487500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06061600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.