Individual provider Active NPI

Lisa Annette Faul, LCSW

  • Clinical Social Worker
  • Warrington, PA
National Provider Identifier
1821602087
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020933 Issued in PA
Practice address
1432 Easton Rd
Warrington, PA 18976-2852
Phone
(601) 260-5325
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 CW020933 PA Primary

Addresses

Primary practice location

1432 Easton Rd
Warrington, PA 18976-2852

Mailing address

410 Lakeview CT
Langhorne, PA 19053-1935
Phone (601) 260-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201130000883 PA Practitioner - Clinical Social Worker 7810308665 Reassigns benefits to 2 organizations
I20210821000057 NJ Practitioner - Clinical Social Worker 7810308665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020933PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC CurrentSince Dec 1, 2022 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Aug 17, 2021 Accepting new patients
Vitae Health Medical Pennsylvania LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1821602087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVIEW CT",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190531935",
            "telephone_number": "601-260-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 EASTON RD",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762852",
            "telephone_number": "601-260-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUL",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

Verify at the official NPI Registry.