Individual provider Active NPI

Lisa O'Brien, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1356859284
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125249 Issued in MA
Practice address
45 N Main St Ste 301
Fall River, MA 02720-2133
Phone
(774) 930-7142
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 125249 MA Primary

Addresses

Primary practice location

45 N Main St Ste 301
Fall River, MA 02720-2133

Mailing address

538 Center St
Fall River, MA 02724-2765
Phone (774) 930-7142

Other practice location 1

538 Center St
Fall River, MA 02724-2765
Phone (774) 930-7142

Other identifiers 1

IdentifierTypeStateIssuer
1356859284MedicaidMA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230329002051 MA Practitioner - Clinical Social Worker 1850765074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45 N Main St
Suite 301
Fall River, MA 02720-2133
Phone (774) 930-7142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125249MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Therapy and Wellness, Inc. Mental Health CurrentSince Sep 7, 2022 Accepting new patients
Hope Is the Key Psychotherapy & Consulting PLLC Mental Health CurrentSince Mar 5, 2023 Accepting new patients
Vinfen Corporation CurrentSince Jan 3, 2023 Accepting new patients

Locations

950 Cambridge St
Cambridge, MA 02141
Phone (617) 441-1743

45 N Main St
Ste 301
Fall River, MA 02720
Phone (508) 677-1950

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1356859284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 CENTER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242765",
            "telephone_number": "774-930-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N MAIN ST STE 301",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202133",
            "telephone_number": "774-930-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 Center St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027242765",
            "country_code": "US",
            "telephone_number": "774-930-7142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356859284",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.