Individual provider Active NPI

Lisa Brown, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1780771667
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005572 Issued in VA
Practice address
13510 E Boundary Rd
Midlothian, VA 23112-4057
Phone
(804) 876-0239
NPI assigned
Oct 10, 2006
Last updated
Oct 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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 0904005572 VA Primary

Addresses

Primary practice location

13510 E Boundary Rd
Midlothian, VA 23112-4057

Mailing address

13510 E Boundary Rd
Midlothian, VA 23112-4057
Phone (804) 876-0239

Other identifiers 2

IdentifierTypeStateIssuer
1780771667MedicaidVA
Q38210AOtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120113000375 VA Practitioner - Clinical Social Worker 9931108743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3606 Boulevard
Suite B
Colonial Heights, VA 23834-1341
Phone (804) 876-0239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904005572VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Brown, LCSW L.L.C CurrentSince Nov 10, 2014 Accepting new patients

Locations

3606 Boulevard
Ste B
Colonial Heights, VA 23834
Phone (804) 505-4869

13510 E Boundary Rd
Ste 104
Midlothian, VA 23112
Phone (804) 876-0239

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1780771667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 E BOUNDARY RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124057",
            "telephone_number": "804-876-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13510 E BOUNDARY RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124057",
            "telephone_number": "804-876-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780771667",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q38210A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.