Individual provider Active NPI

Lisa Lacava, LICSW

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1174924799
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120882 Issued in MA
Practice address
100 Cummings Ctr Ste 106B
Beverly, MA 01915
Phone
(789) 505-0050
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 120882 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 106B
Beverly, MA 01915

Mailing address

174 Boston Post Rd
Sudbury, MA 01776-3102
Phone (978) 505-0050

Other identifiers 1

IdentifierTypeStateIssuer
1174924799OtherNOT CURRENTLY A PROVIDER FOR ANY INSURANCE YET

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
120882MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1174924799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763102",
            "telephone_number": "978-505-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 106B",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "789-505-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAVA",
        "first_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT CURRENTLY A PROVIDER FOR ANY INSURANCE YET",
            "identifier": "1174924799",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.