Lisa J. Keith, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002693 Issued in NC

Legal business name

LISA J. KEITH, LCSW, PLLC

Practice address

112 Adler LN
Goldsboro, NC 27530-5513

Phone

(919) 580-0790

Fax

(919) 735-9238

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Johnson Keith, LCSW

Title

Manager/Partner

Phone

(919) 922-2055

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1124124151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ADLER LN",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305513",
            "telephone_number": "919-580-0790",
            "fax_number": "919-735-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ADLER LN",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305513",
            "telephone_number": "919-580-0790",
            "fax_number": "919-735-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA J. KEITH, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "MANAGER/PARTNER",
        "authorized_official_telephone_number": "919-922-2055",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005936",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "785920000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "142JF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "190281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Newsome LCSW & Associates PA
• Kionna Lindsay, CADC-R
• Kaylie Lindsey
• Linjor House of Hope, LLC
• Dimitrios Paraskevas Lintzeris, D.O.
• Barbara Listenfelt, RD
• Little River Med 1 PA
• Canessia Little, LPN
• James Blake Little, IDMT
• Christie Littleton

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.