Individual provider Active NPI

Lisa Dubbert, LCSW

  • Clinical Social Worker
  • Sylva, NC
National Provider Identifier
1487487765
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004922 Issued in NC
Practice address
71 Wilkes Crescent Dr
Sylva, NC 28779-2933
Phone
(828) 507-4258
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 C004922 NC Primary

Addresses

Primary practice location

71 Wilkes Crescent Dr
Sylva, NC 28779-2933

Mailing address

71 Wilkes Crescent Dr
Sylva, NC 28779-2933
Phone (828) 507-4258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260320001868 NC Practitioner - Clinical Social Worker 7911480017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

430 Fisher Creek Rd
Sylva, NC 28779-7700
Phone (828) 554-7098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004922NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Dubbert LCSW Clinical CurrentSince Sep 3, 2025 Accepting new patients

Locations

430 Fisher Creek Rd
Sylva, NC 28779
Phone (828) 477-4399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1487487765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WILKES CRESCENT DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792933",
            "telephone_number": "828-507-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WILKES CRESCENT DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792933",
            "telephone_number": "828-507-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBERT",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.