Lisa Black-Lafferty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015721 Issued in PA

Practice address

959 Wyoming Ave
Scranton, PA 18509-3023

Phone

(570) 344-3517

Fax

(570) 344-6839

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scranton Primary Health Care Center Inc 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lisa.black.p1@direct.sphcc.nextgenshare.com

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.

• Scranton Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1801871579

  PA

  Medicare reassignment Care Compare group NPD
• Scranton Primary Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1801336458
  Care Compare group NPD
• Scranton Primary Health Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1841709623
  NPD

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1366914657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185093023",
            "telephone_number": "570-344-3517",
            "fax_number": "570-344-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185093023",
            "telephone_number": "570-344-3517",
            "fax_number": "570-344-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK-LAFFERTY",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Marie Bio
• Susan M Bistarkey, CRNA
• Roshan Bisural
• Kristi Bitler, MS CCC-SLP
• Marlin Keene Bixler, LPN
• Marsinlen Hope Blackwell
• Scott L Blakiewicz, PA-C
• Laurie Blasi
• Jeffrey Ira Blau, MSW LCSW
• Charles G Blewitt, EDD LCSW

• All providers in Scranton, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.