Lisa Gale Perdue, GSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00940486 Issued in WV

Practice address

30 Grizzley LN
Summersville, WV 26651-9736

Phone

(304) 574-2905

Fax

(304) 469-2981

NPI assigned

Jan 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oak Hill, WV
  • NPI 1386318756

  WV

  Medicare reassignment NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1407394646

  WV

  Medicare reassignment NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scarbro, WV
  • NPI 1811983331

  WV

  Medicare reassignment NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
  • NPI 1033088331
  NPD
• New River Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1689669855
  NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1922544097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GRIZZLEY LN",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519736",
            "telephone_number": "304-574-2905",
            "fax_number": "304-469-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "LISA",
        "middle_name": "GALE",
        "credential": "GSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00940486",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00940486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Patterson
• Reanna Patterson
• Kristi Pelfrey
• Madalyn Pepple
• Natalie Dawn Perdew
• Katie Joann Perry-Lockard
• Matthew Garfield Phillips
• Shelly Marie Phillips
• Christy Tyree Phipps, P.A. - C
• Debbie Pierson

• Clinical Social Worker in Summersville, WV
• Providers in Summersville, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.