Individual provider Active NPI

Lise B. Mayers, LICSW

  • Clinical Social Worker
  • Westerly, RI
National Provider Identifier
1609985886
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01683 Issued in RI
Practice address
35 Wells St Unit 3
Westerly, RI 02891-2962
Phone
(401) 322-0881
Fax
(401) 322-0883
NPI assigned
Aug 30, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 ISW01683 RI Primary

Addresses

Primary practice location

35 Wells St Unit 3
Westerly, RI 02891-2962

Mailing address

82 Old Post Rd
Westerly, RI 02891-2645
Phone (401) 322-0881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20171113000035 RI Practitioner - Clinical Social Worker 2860425915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Franklin St
Westerly, RI 02891-3138
Phone (401) 465-2914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Counseling Associates, LTD Clinical Past Accepting new patients
Southeast Counseling Associates,LTD. Past Accepting new patients

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, 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1609985886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 OLD POST RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912645",
            "telephone_number": "401-322-0881",
            "fax_number": "401-322-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WELLS ST UNIT 3",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912962",
            "telephone_number": "401-322-0881",
            "fax_number": "401-322-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERS",
        "first_name": "LISE",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.