Individual provider Active NPI

Lisa Dawn Gaither, MSW, LCSW

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1194965228
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005691A Issued in IN
Practice address
1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061
Phone
(812) 238-7631
Fax
(812) 238-7003
NPI assigned
Mar 3, 2009
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 34005691A IN Primary

Addresses

Primary practice location

1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061

Mailing address

1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061
Phone (812) 238-7631

Other practice location 1

1001 W 10th St
Indianapolis, IN 46202-2859
Phone (317) 630-8485

Other practice location 2

620 8th Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110712000623 IN Practitioner - Clinical Social Worker 0345418679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1530 N 7TH St
Suite 201
Terre Haute, IN 47807-1061
Phone (812) 238-7631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005691AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289

601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515

Organizations & group practices 3

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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1194965228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST STE 201",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071061",
            "telephone_number": "812-238-7631",
            "fax_number": "812-238-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST STE 201",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071061",
            "telephone_number": "812-238-7631",
            "fax_number": "812-238-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022859",
            "country_code": "US",
            "telephone_number": "317-630-8485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478042771",
            "country_code": "US",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005691A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.