Individual provider Active NPI

Lisa M Mann, LISW

  • Clinical Social Worker
  • Richmond, IN
National Provider Identifier
1841508231
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006035A Issued in IN
Practice address
380 Hub Etchison Pkwy RM R144
Richmond, IN 47374-5339
Phone
(765) 973-3424
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 I.1000161 OH
Clinical Social Worker 1041C0700X 34006035A IN Primary

Addresses

Primary practice location

380 Hub Etchison Pkwy RM R144
Richmond, IN 47374-5339

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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
I20101025000090 IN Practitioner - Clinical Social Worker 5890988786 Reassigns benefits to 2 organizations
I20141223000748 OH Practitioner - Clinical Social Worker 5890988786 Practice locations: Eaton, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1000161OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp CurrentSince Jan 13, 2025 Accepting new patients
Neighborhood Health Center CurrentSince Nov 13, 2023 Accepting new patients
Neighborhood Health Center, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Meridian Health Services Corp. CurrentSince Jan 13, 2025 Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Darke County Mental Health Clinic, Inc PastSince Mar 25, 2019 Accepting new patients
Meridian Health Services Corp. Past Accepting new patients

Locations

101 W 29th St
Anderson, IN 46016
Phone (765) 356-0026

950 N Market St
Liberty, IN 47353
Phone (765) 458-5191

8707 W US Highway 36
Rm N2
Modoc, IN 47358

240 N Tillotson Ave
Muncie, IN 47304

380 Hub Etchison Pkwy
Rm R144
Richmond, IN 47374
Phone (765) 973-3424

101 S 10th St
Richmond, IN 47374
Phone (765) 965-4299

520 S 9th St
Ste A
Richmond, IN 47374
Phone (765) 254-5347

731 N Plum St
Rm 107
Union City, IN 47390
Phone (765) 232-3734

Interoperability endpoints

  • Direct secure messaging: lisa.mann.p1@direct.meridianhs.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1841508231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HUB ETCHISON PKWY RM R144",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745339",
            "telephone_number": "765-973-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.