Active NPI
Lisa Goodman Niederman, LCSW
- Clinical Social Worker
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009243
- Practice address
- 1337 E Garrison Blvd
Gastonia, NC 28054-5127 - Phone
- (704) 834-2000
- Fax
- (704) 854-3086
- NPI assigned
- Aug 4, 2006
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00498 | RI | |
| Clinical Social Worker | 1041C0700X | C009243 | NC | Primary |
Addresses
Primary practice location
1337 E Garrison Blvd
Gastonia, NC 28054-5127
Mailing address
1337 E Garrison Blvd
Gastonia, NC 28054-5127
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-67493 | Other | RI | UBH |
| 408503 | Other | RI | BLUE CHIP |
| LY10977 | Medicaid | RI | |
| 30118-1 | Other | RI | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2030 Windsor Run LN
Matthews, NC 28105-0054
Phone (704) 443-6250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW00498 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Erickson Health Medical Group of North Carolina, PC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Christine Richards LLC | Past | Accepting new patients | |
| One Medical, P.C. | Past | Accepting new patients |
Locations
5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379
1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250
Interoperability endpoints
- lisayanku@tdh.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Matthews, NC
- NPI 1396241030
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba CaroMont Psychiatric Associates
- Psychiatry Physician
- Gastonia, NC
- NPI 1629197744
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Mental Health Counselor
- Attleboro, MA
- NPI 1194395657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1568470367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545127",
"telephone_number": "704-834-2000",
"fax_number": "704-854-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDERMAN",
"first_name": "LISA",
"middle_name": "GOODMAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00498",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "62-67493",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "408503",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LY10977",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30118-1",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.