Individual provider Active NPI

Lisa M Woolfe, LCSW-R

  • Clinical Social Worker
  • Warrensburg, NY
National Provider Identifier
1447390976
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
051222 Issued in NY
Practice address
3767 Main St
Warrensburg, NY 12885-1890
Phone
(518) 623-2844
Fax
(518) 623-3416
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 051222 NY Primary

Addresses

Primary practice location

3767 Main St
Warrensburg, NY 12885-1890

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

23 Conver Dr
Saratoga Springs, NY 12866-9740
Phone (518) 580-9863

Other identifiers 1

IdentifierTypeStateIssuer
03543753MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.woolfe.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200120000389 NY Practitioner - Clinical Social Worker 9133425002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

100 Broad St
Glens Falls, NY 12801-4349
Phone (518) 792-2223

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

3761 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-3918

3767 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-2844

38 Larose St
Glens Falls, NY 12801-4025
Phone (518) 824-8181

90 S St
Glens Falls, NY 12801-4353
Phone (518) 792-7841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Jan 27, 2020 Accepting new patients
Hudson Headwaters Health Network CurrentSince Jan 27, 2020 Accepting new patients
River Bend Psychological Services, PC Clinical Past Accepting new patients

Locations

9 Carey Rd
Queensbury, NY 12804

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

3761 Main St
Warrensburg, NY 12885
Phone (518) 623-2993

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1447390976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 MAIN ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851890",
            "telephone_number": "518-623-2844",
            "fax_number": "518-623-3416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Conver Dr",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128669740",
            "country_code": "US",
            "telephone_number": "518-580-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLFE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "051222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03543753",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.woolfe.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3767 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, NY

Sources for this page

Verify at the official NPI Registry.