Individual provider Active NPI

Lisa Wilson, LCSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1952560872
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW01085 Issued in RI
Practice address
235 Haswill St
Warwick, RI 02889-8732
Phone
(401) 477-2242
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 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 CSW01085 RI Primary

Addresses

Primary practice location

235 Haswill St
Warwick, RI 02889-8732

Mailing address

235 Haswill St
Warwick, RI 02889-8732
Phone (401) 477-2242

Other identifiers 3

IdentifierTypeStateIssuer
GH57134MedicaidRI
30343OtherRIBLUE CROSS CRISIS
412383OtherRIBLUE CHIP CRISIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20110228000378 RI Practitioner - Clinical Social Worker 7810178605 Practice locations: Warwick, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

239 Haswill St
Warwick, RI 02889-8732
Phone 40147722428732

935 Reservoir Ave
Cranston, RI 02910-4437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW01085RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PVD Cares Wellness Center LLC PastSince Mar 1, 2020 Accepting new patients
Gateway Healthcare Inc Past Accepting new patients
Gateway Healthcare, Inc Clinical Past Accepting new patients

Organizations & group practices 3

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1952560872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HASWILL ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898732",
            "telephone_number": "401-477-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HASWILL ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898732",
            "telephone_number": "401-477-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GH57134",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CRISIS",
            "identifier": "30343",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP CRISIS",
            "identifier": "412383",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.