Lisa Staab, LCSW, LISW-CP
NPI 1396299442ActiveIndividual· Social Worker, Clinical· Murrells Inlet, SC
Social Worker, Clinical (LCSW, LISW-CP) with Sondermind Provider Network LLC, practicing in Murrells Inlet, South Carolina. Medicare paid $18,559 for services to 34 patients in 2024.
Overview
| NPI | 1396299442 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LISW-CP |
| Sole proprietor | Yes |
| NPI issued | Aug 6, 2016 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 12048 | WI |
| Social Worker, Clinical | 1041C0700X | 09924360 | CO |
| Social Worker, Clinical | 1041C0700X | 11774 | SC |
| Social Worker, Clinical | 1041C0700X | 6801117714 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AR); Practitioner - Clinical Social Worker (CO); Practitioner - Clinical Social Worker (LA); Practitioner - Clinical Social Worker (MI); Practitioner - Clinical Social Worker (NC); Practitioner - Clinical Social Worker (SC); Practitioner - Clinical Social Worker (TX); Practitioner - Clinical Social Worker (VA); Practitioner - Clinical Social Worker (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 220 across 4 procedure codes |
| Paid by Medicare | $18,559 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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