Lisa L Judd, MSW LISW-CP ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6639 Issued in SC

Practice address

504 Parkview Dr
Spartanburg, SC 29302-4019

Phone

(864) 504-0708

NPI assigned

Aug 1, 2005

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

Medicare fee-for-service enrollment

Enrolled in SC

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychotherapy and Consultation

  • Community/Behavioral Health Agency
  • Spartanburg, SC
  • NPI 1740630045
  Medicare reassignment NPD Authorized official
• Affiliated Counseling and Psychotherapy Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spartanburg, SC
  • NPI 1346385812
  NPD (past)
• Affiliated Counseling and Psychotherpy Centers, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaffney, SC
  • NPI 1255499364
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1417958448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 PARKVIEW DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024019",
            "telephone_number": "864-504-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 PARKVIEW DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024019",
            "telephone_number": "864-504-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "MSW LISW-CP ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "6639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• K and N Dental Group

• Social Worker in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.