Individual provider Active NPI

Lydia Leigh Fransen, LCSWA

  • Clinical Social Worker
  • Pineville, NC
National Provider Identifier
1154567113
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017999 Issued in NC
Practice address
15524 Country Lake Dr
Pineville, NC 28134-6459
Phone
(803) 389-9700
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LMW-0039 SC
Clinical Social Worker 1041C0700X P017999 NC Primary

Addresses

Primary practice location

15524 Country Lake Dr
Pineville, NC 28134-6459

Mailing address

15524 Country Lake Dr
Pineville, NC 28134-6459
Phone (803) 389-9700

Other practice location 1

1793 Hickory Wood Ct
Fort Mill, SC 29715-9022
Phone (803) 547-3179

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P017999NCMDClinical Social Worker
LMW-0039SCMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Cloverleaf Therapy PLLC Clinical CurrentSince Nov 10, 2024 Accepting new patients

Locations

10716 Carmel Commons Blvd
Ste 140
Charlotte, NC 28226

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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1154567113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15524 COUNTRY LAKE DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346459",
            "telephone_number": "803-389-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15524 COUNTRY LAKE DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346459",
            "telephone_number": "803-389-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1793 Hickory Wood Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297159022",
            "country_code": "US",
            "telephone_number": "803-547-3179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANSEN",
        "first_name": "LYDIA",
        "middle_name": "LEIGH",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "LMW-0039",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.