Individual provider Active NPI

Lisa Medvetz, LCSW

  • Clinical Social Worker
  • Drums, PA
National Provider Identifier
1225794464
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024936 Issued in PA
Practice address
213 Trapper Springs LN
Drums, PA 18222-1219
Phone
(570) 519-8818
NPI assigned
Nov 11, 2021
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW138366 PA
Clinical Social Worker 1041C0700X CW024936 PA Primary

Addresses

Primary practice location

213 Trapper Springs LN
Drums, PA 18222-1219

Mailing address

213 Trapper Springs LN
Drums, PA 18222-1219
Phone (570) 519-8818

Other practice location 1

3 E Butler Dr Ste 102B
Drums, PA 18222-2600
Phone (570) 519-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241209003280 PA Practitioner - Clinical Social Worker 1052847456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 Trapper Springs LN
Drums, PA 18222-1219
Phone (570) 519-8818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW138366PAMDSocial Worker
CW024936PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Roads Counseling, LLC Clinical CurrentSince Oct 23, 2025 Accepting new patients
Integrated Behavioral Health Services, LLC Social Worker CurrentSince Jul 16, 2023 Accepting new patients
Tiffany Griffiths Psy D & Associates Inc Social Worker CurrentSince Oct 4, 2024 Accepting new patients

Locations

3 E Butler Dr
Drums, PA 18222
Phone (570) 539-7901

3 E Butler Dr
Ste 102B
Drums, PA 18222
Phone (570) 519-8818

502 N Blakely St
Dunmore, PA 18512
Phone (570) 342-8434

1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054

470 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-4551

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1225794464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 TRAPPER SPRINGS LN",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221219",
            "telephone_number": "570-519-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 TRAPPER SPRINGS LN",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221219",
            "telephone_number": "570-519-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 E Butler Dr Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Drums",
            "state": "PA",
            "postal_code": "182222600",
            "country_code": "US",
            "telephone_number": "570-519-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDVETZ",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drums, PA

Sources for this page

Verify at the official NPI Registry.