Individual provider Active NPI

Lisa Mary Correale, MSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1851462345
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013686 Issued in PA
Practice address
401 S 2ND St Ste 301
Philadelphia, PA 19147-1612
Phone
(215) 631-7166
NPI assigned
Nov 13, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 CW013686 PA Primary

Addresses

Primary practice location

401 S 2ND St Ste 301
Philadelphia, PA 19147-1612

Mailing address

264 Audubon Ave
Audubon, NJ 08106-2312
Phone (215) 631-7166

Other practice location 1

264 Audubon Ave
Audubon, NJ 08106-2312
Phone (215) 631-7166

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
I20110215000736 PA Practitioner - Clinical Social Worker 1254511777 Practice locations: Philadelphia, PA
I20230112002796 NJ Practitioner - Clinical Social Worker 1254511777 Practice locations: Audubon, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 S 2ND St
Suite 301
Philadelphia, PA 19147-1612
Phone (215) 631-7166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013686PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia School of Psychoanalysis Clinical PastSince Feb 21, 2021 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1851462345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 AUDUBON AVE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081062312",
            "telephone_number": "215-631-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 2ND ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471612",
            "telephone_number": "215-631-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Audubon Ave",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "NJ",
            "postal_code": "081062312",
            "country_code": "US",
            "telephone_number": "215-631-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREALE",
        "first_name": "LISA",
        "middle_name": "MARY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.