Individual provider Active NPI

Lisa Renee Feldman, MSW

  • Clinical Social Worker
  • Merion Station, PA
National Provider Identifier
1609687060
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016770 Issued in PA
Practice address
515 Mercer Rd
Merion Station, PA 19066-1015
Phone
(609) 828-3132
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 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 CW016770 PA Primary

Addresses

Primary practice location

515 Mercer Rd
Merion Station, PA 19066-1015

Mailing address

515 Mercer Rd
Merion Station, PA 19066-1015
Phone (609) 828-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT, DE, DC, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20250224000490 PA Practitioner - Clinical Social Worker 5193245025 Reassigns benefits to 1 organization
I20251022004307 CT Practitioner - Clinical Social Worker 5193245025 Reassigns benefits to 1 organization
I20251023004870 DE Practitioner - Clinical Social Worker 5193245025 Reassigns benefits to 1 organization
I20251024000942 DC Practitioner - Clinical Social Worker 5193245025 Reassigns benefits to 1 organization
I20260618000114 FL Practitioner - Clinical Social Worker 5193245025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1609687060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MERCER RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661015",
            "telephone_number": "609-828-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MERCER RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661015",
            "telephone_number": "609-828-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merion Station, PA

Sources for this page

Verify at the official NPI Registry.