Marcia K Lis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000790 Issued in DE

Practice address

1601 Concord Pike
Suites 92-100
Wilmington, DE 19803-3612

Phone

(302) 409-3434

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delaware Behavioral Health IncGroup PAC ID 8921227174, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Delaware Behavioral Health, Inc.

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Newport, DE
  • NPI 1164864021
  Medicare reassignment Care Compare group NPD
• Focus Behavioral Health,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
  • NPI 1558662346
  NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1639219751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CONCORD PIKE",
            "address_2": "SUITES 92-100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033612",
            "telephone_number": "302-409-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "MARCIA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039274",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Lindsay, NP
• Meghan M Lines, PHD
• Connor Steven Lingo, PHYSICAL THERAPIST
• Katya Linton, LACMH
• Lauren Michelle Lipshutz
• Dawn Liss
• Patrick Litle, PH.D.
• Sarah Mackenzie Little, PA-C
• Herman Littleton
• Lindsey Susanne Litwa, PHD

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.

Verify at the official NPI Registry.