Individual provider Active NPI

Lisa Athenia Chaplin, LCSW-C, LICSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1912157983
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13728 Issued in MD
Practice address
4820 Rockport Dr
Durham, NC 27703-5997
Phone
(301) 613-7709
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13728 MD Primary
Clinical Social Worker 1041C0700X LC50078500 DC
Clinical Social Worker 1041C0700X C008555 NC

Addresses

Primary practice location

4820 Rockport Dr
Durham, NC 27703-5997

Mailing address

4820 Rockport Dr
Durham, NC 27703-5997
Phone (301) 613-7709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 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
I20170117000805 NC Practitioner - Clinical Social Worker 7113209768 Reassigns benefits to 2 organizations
I20240924001830 MA Practitioner - Clinical Social Worker 7113209768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078500DCMDClinical Social Worker
13728MDMDClinical Social Worker
C008555NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin McArthur, MD, PLLC CurrentSince Feb 5, 2018 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince Jan 19, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 16, 2024 Accepting new patients
Garner Psychiatry, PLLC PastSince Nov 9, 2016 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3349

Organizations & group practices 4

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1912157983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 ROCKPORT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035997",
            "telephone_number": "301-613-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 ROCKPORT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035997",
            "telephone_number": "301-613-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLIN",
        "first_name": "LISA",
        "middle_name": "ATHENIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13728",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.