Lisa Gundersheimer, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008654 Issued in NC

Practice address

605 W Main St
Ste 206
Carrboro, NC 27510-1694

Phone

(919) 988-0353

Fax

(919) 710-8219

NPI assigned

Mar 7, 2007

Last updated

Jul 28, 2020By the provider in NPPES

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 names 1

• Dr. Lisa Baron Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Open Space Therapy, PLLC

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1780133223
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1245361807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST",
            "address_2": "STE 206",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101694",
            "telephone_number": "919-988-0353",
            "fax_number": "919-710-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST",
            "address_2": "STE 206",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101694",
            "telephone_number": "919-988-0353",
            "fax_number": "919-710-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSHEIMER",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BARON",
            "prefix": "DR.",
            "credential": "PHD, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Curtis Eugene Gray, MSW, LCSWA
• Diana O. Griffin, P.T.
• Marilyn L Grubbs, LPC
• Rebecca Lynn Grzadzinski, PHD
• Tesha Gulati, PHARMD
• Mallinath B Hadimani, PHD, RPH
• Austin Hall, M.D.
• Mary Elizabeth Hampe, MD
• Adrianne Harris, PHD
• Lauren Harrison, DDS

• Clinical Social Worker in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.