Lisa Dumain, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003366 Issued in NC

Practice address

212 W Main St
Suite C
Carrboro, NC 27510-2082

Phone

(919) 818-6622

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 20, 2019 through Feb 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1962656504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PICKARD MOUNTAIN RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272787570",
            "telephone_number": "919-818-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MAIN ST",
            "address_2": "SUITE C",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102082",
            "telephone_number": "919-818-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAIN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "003366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007176",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ishangi Divekar, PA-C
• Huong T Doan, D.D.S
• Heidi Ebert Dohnert, LCSW, LCAS, CCS
• Kathryn Eileen Dorney, MA.CCC-SLP
• Danielle Drobot, FNP-BC
• Catherine J Duncan, PT
• Suzanna Dupee
• Lauren Dyke, OTR/L
• David A Eberhard, MD
• Edc Drug Stores Inc

• Clinical Social Worker in Carrboro, NC
• Providers in Carrboro, 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 Feb 17, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.