LISA GAUTHIER (LCSW) – Clinical Social Worker, NPI 1972107944

Clinical Social Worker

LISA GAUTHIER (LCSW) is a healthcare provider. based in Jesup, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW007336 (GA). The NPI Number for LISA GAUTHIER (LCSW) is 1972107944

Main info

Female

23 Years Of Experience

Accepts Medicare Assignment

Name

LISA GAUTHIER (LCSW)

NPI

1972107944

Phone

(912) 280-7023

Address

124 SW BROAD ST

Enumeration Date

30 November 2020

Last Update Date

30 November 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9125548000

Graduation Year

2003 (23 years ago)

PAC ID

7618376914

Group Practice PAC ID

3173510237

Professional Enrollment ID

I20210518002047

Address ID

GA315201973BR600XXDRXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:5State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for LISA GAUTHIER (LCSW)

124 SW BROAD ST
JESUP, GA 315451100
Phone: (912) 280-7023
Fax: (912) 289-0909
Type: Mailing
2121 EAST DERENNE AVE
SAVANNAH, GA 31406
Phone: (912) 280-7023
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20210518002047	I	Clinical Social Worker	GA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90791	Psychiatric diagnostic evaluation	14	14	$0

View full utilization report →

Insurance plans in this area (ZIP 31545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3173510237View full group profile

Name	Specialty	State
MRS. GANIAT JAIYESINMI AJAYI (MD)	P S Y C H I A T R Y	GA
NISHA BEARD	P S Y C H I A T R Y	GA
DR. ABHIRAM SRIVATSA (DO)	P S Y C H I A T R Y	GA
BRENDA NED	Mental Health Counselor	GA
NISHA RAMCHANDER (DO)	P S Y C H I A T R Y	GA
LORELYS ARROYO RIVERA (MD)	P S Y C H I A T R Y	GA
STEPHANIE RENE CHAPMAN (D.O.)	-	GA
KAREN V HARRIS (LCSW)	-	GA
GEORGE BUTLER	P S Y C H I A T R Y	SC
DR. JOSEPH MICHAEL HARWOOD (MD)	P S Y C H I A T R Y	GA