Individual provider Active NPI

Lisa P Nazworth, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1982045829
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008735 Issued in VA
Practice address
3781 Westerre Pkwy Ste F
Henrico, VA 23233-1328
Phone
(804) 221-5646
Fax
(804) 360-7063
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904008735 VA Primary

Addresses

Primary practice location

3781 Westerre Pkwy Ste F
Henrico, VA 23233-1328

Mailing address

3781 Westerre Pkwy Ste F
Henrico, VA 23233-1328
Phone (804) 221-5646

Other practice location 1

3494 Richards Xing
Fort Mill, SC 29708-8946
Phone (803) 396-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150421000837 VA Practitioner - Clinical Social Worker 9931189297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3781 Westerre Pkwy
Suite F
Henrico, VA 23233-1328
Phone (804) 221-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008735VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Nazworth LLC Clinical CurrentSince Jul 19, 2017 Accepting new patients
Piedmont Health Group LLC Single Specialty Past Accepting new patients

Locations

3781 Westerre Pkwy
Ste F
Richmond, VA 23233
Phone (804) 221-5646

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1982045829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 WESTERRE PKWY STE F",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331328",
            "telephone_number": "804-221-5646",
            "fax_number": "804-360-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 WESTERRE PKWY STE F",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331328",
            "telephone_number": "804-221-5646",
            "fax_number": "804-360-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3494 Richards Xing",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297088946",
            "country_code": "US",
            "telephone_number": "803-396-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZWORTH",
        "first_name": "LISA",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.