Individual provider Active NPI

Lisa Ann Lincoln, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1972638005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6137 Issued in LA
Practice address
119 Rue Fountaine
Lafayette, LA 70508-5744
Phone
(337) 984-8355
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6137 LA Primary

Addresses

Primary practice location

119 Rue Fountaine
Lafayette, LA 70508-5744

Mailing address

1012 Saint Louis St
Scott, LA 70583-5116
Phone (337) 303-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210408000651 DE Practitioner - Clinical Social Worker 7618052283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6137LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mind Counseling Services, LLC Clinical CurrentSince Feb 1, 2023 Accepting new patients
Compass Mental Wellness Services, Inc CurrentSince Feb 24, 2021 Accepting new patients

Locations

610 Marshall St
Milford, DE 19963
Phone (302) 359-3734

1310 Bridgeville Hwy
Seaford, DE 19973
Phone (302) 394-6051

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of Mind Counseling Services, LLC 13 clinicians

Practice addresses (Care Compare)

610 Marshall St
Milford, DE 19963-2308
Phone (302) 359-3734

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972638005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SAINT LOUIS ST",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835116",
            "telephone_number": "337-303-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RUE FOUNTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-984-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.