Lisa Marie Hyatt, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016146 Issued in NC

Practice address

3887 Crab Creek Rd
Penrose, NC 28766-8810

Phone

(843) 616-0296

NPI assigned

Jul 4, 2011

Last updated

May 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1932496569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 CRAB CREEK RD",
            "city": "PENROSE",
            "state": "NC",
            "postal_code": "287668810",
            "telephone_number": "843-616-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 CRAB CREEK RD",
            "city": "PENROSE",
            "state": "NC",
            "postal_code": "287668810",
            "telephone_number": "843-616-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Dixon Barney, MA LCMHC LCASA NCC
• Lauren Kendall Clay, CLC
• Compassionate Caregivers of North Carolina LLC
• Glenda Fisher
• Lisa Marie Licciardi
• Gina Pienkowski

• Clinical Social Worker in Penrose, NC
• Providers in Penrose, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.