Individual provider Active NPI

Lisa J. Fowler, LCSW

  • Clinical Social Worker
  • York, SC
National Provider Identifier
1154377802
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004973 Issued in NC
Practice address
1061 Oakhill CT
York, SC 29745-9154
Phone
(803) 366-9111
Fax
(803) 366-9111
NPI assigned
May 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 C004973 NC Primary

Addresses

Primary practice location

1061 Oakhill CT
York, SC 29745-9154

Mailing address

1061 Oakhill CT
York, SC 29745-9154
Phone (803) 366-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20130215000223 SC Practitioner - Clinical Social Worker 6608020813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

331 E Main St
Suite 200
Rock Hill, SC 29730-5384
Phone (803) 366-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4886SCMDProfessional Counselor
C004973NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Counseling & Consulting CurrentSince Oct 1, 2016 Accepting new patients

Locations

331 E Main St
Ste 200
Rock Hill, SC 29730
Phone (704) 350-5885

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154377802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 OAKHILL CT",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459154",
            "telephone_number": "803-366-9111",
            "fax_number": "803-366-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 OAKHILL CT",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459154",
            "telephone_number": "803-366-9111",
            "fax_number": "803-366-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "LISA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

Verify at the official NPI Registry.