Lise Memling, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1027106 Issued in MA

Practice address

184A Jones Rd
C/O Bloom & Page Counselling
Falmouth, MA 02540-2908

Phone

(508) 564-0457

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Shore Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
  • NPI 1770528317
  Medicare reassignment NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225112436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GRASMERE DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402937",
            "telephone_number": "508-564-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184A JONES RD",
            "address_2": "C/O BLOOM & PAGE COUNSELLING",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402908",
            "telephone_number": "508-564-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMLING",
        "first_name": "LISE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PPO389",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly McManus, SLP
• Arielle McMurray
• Jeffrey J McNeil, LADC-1
• Neiman Anthony Melhem
• Melissa D Fein Licsw PLLC
• Michael John Mendelsohn, MD
• Trista Escobar Metz, LICSW
• Pia Mezzacappa, DACM L.AC
• Arshad M Mian, MD
• Michael P. Adams DDS PC

• Clinical Social Worker in Falmouth, MA
• Providers in Falmouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.