Individual provider Active NPI

Lisa H Stander, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1124075072
Registry record updated Aug 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004131 Issued in NC
Practice address
3 Carson Creek Dr
Asheville, NC 28803-9010
Phone
(828) 274-6622
Fax
(828) 274-7382
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2009

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 C004131 NC Primary

Addresses

Primary practice location

3 Carson Creek Dr
Asheville, NC 28803-9010

Mailing address

3 Carson Creek Dr
Asheville, NC 28803-9010
Phone (828) 274-6622

Other identifiers 2

IdentifierTypeStateIssuer
6003053MedicaidNC
136F4OtherNCBCBSNC GROUP # 015HF

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
C004131NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients
Carolina Mountain Psychiatry PA PastSince Jul 14, 2015 Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients

Organizations & group practices 3

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249171200000",
    "number": "1124075072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CARSON CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039010",
            "telephone_number": "828-274-6622",
            "fax_number": "828-274-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARSON CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039010",
            "telephone_number": "828-274-6622",
            "fax_number": "828-274-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDER",
        "first_name": "LISA",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003053",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC GROUP # 015HF",
            "identifier": "136F4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; 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.