Active NPI
Lisa Bicket, LCSW
- Clinical Social Worker
- Red Bud, IL
National Provider Identifier
1194345322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149017717
- Practice address
- 10257 State Route 3
Red Bud, IL 62278-4418 - Phone
- (618) 282-6233
- NPI assigned
- Apr 17, 2020
- Last updated
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149017717 | IL | Primary |
Addresses
Primary practice location
10257 State Route 3
Red Bud, IL 62278-4418
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233
Other practice location 1
208 Derbyshire Dr
Swansea, IL 62226-3036
Phone (618) 531-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149017717 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comwell | Clinical | Current | Accepting new patients |
Locations
10257 State Route 3
Red Bud, IL 62278
Phone (618) 282-6233
10257 State Route 3
Bldg G
Red Bud, IL 62278
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": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1194345322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10257 STATE ROUTE 3",
"city": "RED BUD",
"state": "IL",
"postal_code": "622784418",
"telephone_number": "618-282-6233",
"fax_number": "888-388-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10257 STATE ROUTE 3",
"city": "RED BUD",
"state": "IL",
"postal_code": "622784418",
"telephone_number": "618-282-6233"
}
],
"practiceLocations": [
{
"address_1": "208 Derbyshire Dr",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622263036",
"country_code": "US",
"telephone_number": "618-531-7521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BICKET",
"first_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149017717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bud, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.