Individual provider Active NPI

Lisha Andrea Mejan, MSW, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1558694950
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007484 Issued in NC
Practice address
1200 S Broad St
Winston Salem, NC 27101-5760
Phone
(336) 722-8173
Fax
(336) 724-6491
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007484 NC Primary
Mental Health Counselor 101YM0800X QS151429 NC

Addresses

Primary practice location

1200 S Broad St
Winston Salem, NC 27101-5760

Mailing address

1200 S Broad St
Winston Salem, NC 27101-5758
Phone (336) 722-8173

Other identifiers 1

IdentifierTypeStateIssuer
6006017MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
QS151429NCMDMental Health Counselor
C007484NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. Clinical PastSince Dec 7, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1558694950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S BROAD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015758",
            "telephone_number": "336-722-8173",
            "fax_number": "336-724-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S BROAD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015760",
            "telephone_number": "336-722-8173",
            "fax_number": "336-724-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJAN",
        "first_name": "LISHA",
        "middle_name": "ANDREA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007484",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "QS151429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006017",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.