Individual provider Active NPI

Lisa Anne Sworowski, PH.D.

  • Clinical Neuropsychologist
  • Charlotte, NC
National Provider Identifier
1891824306
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4230 Issued in NC
Practice address
10700 Sikes PL Ste 380
Charlotte, NC 28277-8175
Phone
(704) 246-7758
Fax
(980) 262-3036
NPI assigned
Mar 2, 2007
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20041849A IN
Clinical Neuropsychologist 103G00000X 071006373 IL
Psychologist 103T00000X 071006373 IL
Psychologist 103T00000X 20041849A IN
Adult Development & Aging Psychologist 103TA0700X 071006373 IL
Clinical Psychologist 103TC0700X 20041849A IN
Clinical Psychologist 103TC0700X 071006373 IL
Clinical Neuropsychologist 103G00000X 4230 NC Primary
Clinical Psychologist 103TC0700X 4230 NC
Adult Development & Aging Psychologist 103TA0700X 20041849A IN

Addresses

Primary practice location

10700 Sikes PL Ste 380
Charlotte, NC 28277-8175

Mailing address

10700 Sikes PL Ste 380
Charlotte, NC 28277-8175
Phone (704) 246-7758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20121228000383 NC Practitioner - Clinical Psychologist 2365486776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10700 Sikes PL
Suite 380
Charlotte, NC 28277-8175
Phone (704) 246-7758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20041849AINMDClinical Psychologist
4230NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Neurobehavioral Service Clinical Neuropsychologist CurrentSince Jan 25, 2012 Accepting new patients
Goldstein Neuropsychologists PC Clinical Neuropsychologist Past Accepting new patients

Locations

10700 Sikes Pl
Ste 380
Charlotte, NC 28277
Phone (704) 246-7758

Organizations & group practices 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1891824306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SIKES PL STE 380",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778175",
            "telephone_number": "704-246-7758",
            "fax_number": "980-262-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SIKES PL STE 380",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778175",
            "telephone_number": "704-246-7758",
            "fax_number": "980-262-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOROWSKI",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20041849A",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071006373",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006373",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041849A",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IL",
            "license": "071006373",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041849A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006373",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4230",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4230",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IN",
            "license": "20041849A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.