Individual provider Active NPI

Lisa May, LCSW-C

  • Clinical Social Worker
  • Federalsburg, MD
National Provider Identifier
1699897884
Registry record updated Jul 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11451 Issued in MD
Practice address
27203 Chipmans LN
Federalsburg, MD 21632
Phone
(410) 754-9141
NPI assigned
Apr 6, 2007
Last updated
Jul 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2018

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 Q10000360 DE
Clinical Social Worker 1041C0700X 11451 MD Primary

Addresses

Primary practice location

27203 Chipmans LN
Federalsburg, MD 21632

Mailing address

27203 Chipmans LN
Federalsburg, MD 21632-2160
Phone (410) 754-9141

Other practice location 1

406 Marvel Ct
Easton, MD 21601-4052
Phone (410) 822-4613

Other identifiers 1

IdentifierTypeStateIssuer
435138000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20181005000508 MD Practitioner - Clinical Social Worker 8921350729 Practice locations: Federalsburg, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000360DEMDClinical Social Worker
11451MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc PastSince Nov 26, 2001 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, 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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532131200000",
    "number": "1699897884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 CHIPMANS LN",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216322160",
            "telephone_number": "410-754-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 CHIPMANS LN",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "21632",
            "telephone_number": "410-754-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Marvel Ct",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216014052",
            "country_code": "US",
            "telephone_number": "410-822-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "LISA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000360",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435138000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federalsburg, MD

Sources for this page

Verify at the official NPI Registry.