Individual provider Active NPI

Lisa G Parker, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1093745283
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW000985 Issued in RI
Practice address
33 College Hill Rd Ste 30E
Warwick, RI 02886-2767
Phone
(401) 821-6070
Fax
(401) 821-6047
NPI assigned
Jul 3, 2006
Reactivated
Mar 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 ISW000985 RI Primary

Addresses

Primary practice location

33 College Hill Rd Ste 30E
Warwick, RI 02886-2767

Mailing address

9 Bayou Dr
Greenville, RI 02828-3122
Phone (401) 524-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20240812002041 RI Practitioner - Clinical Social Worker 4284172099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheehan Psychotherapy Associates, IncGroup PAC ID 2062482599, 11 clinicians

Practice addresses (Care Compare)

33 College Hill Rd
Suite 30E
Warwick, RI 02886-2767
Phone (401) 821-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW000985RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sheehan Psychotherapy Associates, Inc Clinical CurrentSince May 30, 2024 Accepting new patients

Locations

33 College Hill Rd
Ste 30E
Warwick, RI 02886
Phone (401) 821-6070

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1093745283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BAYOU DR",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283122",
            "telephone_number": "401-524-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 COLLEGE HILL RD STE 30E",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862767",
            "telephone_number": "401-821-6070",
            "fax_number": "401-821-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LISA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "deactivation_date": "2018-10-31",
        "reactivation_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW000985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.