Active NPI
Lisa J Calhoun, MSW
- Social Worker
- Liberty, NY
National Provider Identifier
1265467013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 20 Community Lane
Liberty, NY 12754-0716 - Phone
- (845) 292-8770
- Fax
- (845) 292-4206
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
20 Community Lane
Liberty, NY 12754-0716
Mailing address
PO Box 716
Liberty, NY 12754-0716
Phone (845) 292-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00398370 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sullivan | Social Worker | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265467013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 716",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127540716",
"telephone_number": "845-292-8770",
"fax_number": "845-292-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 COMMUNITY LANE",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127540716",
"telephone_number": "845-292-8770",
"fax_number": "845-292-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "LISA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00398370",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.