LISA GOODMAN NIEDERMAN (LCSW) – Clinical Social Worker, NPI 1568470367

LISA GOODMAN NIEDERMAN (LCSW) is a healthcare provider. based in Warwick, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. ISW00498 (RI). The NPI Number for LISA GOODMAN NIEDERMAN (LCSW) is 1568470367

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
LISA GOODMAN NIEDERMAN (LCSW)
NPI
1568470367
Phone
(401) 738-4300
Address
50 HEALTH LN
Enumeration Date
4 August 2006
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7044436250
Graduation Year
1991 (35 years ago)
PAC ID
5597747659
Group Practice PAC ID
6406104165
Professional Enrollment ID
I20210412001421
Address ID
NC281050054MA2030XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

712 CLINICAL SOCIAL WORKER in RI

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Provider Addresses for LISA GOODMAN NIEDERMAN (LCSW)

  • 50, Health Lane, Warwick, Kent County, Rhode Island, 02886, United States

    WARWICK, RI 028862711

    Phone: (401) 738-4300

    Fax: (401) 738-8634

    Type: Location

  • 4014 CONNECTION POINT BLVD

    STE C

    CHARLOTTE, NC 282120332

    Phone: (401) 738-4300

    Type: Mailing

  • 1337 E Garrison Blvd

    Gastonia, NC 280545127

    Phone: (704) 834-2000

    Fax: (704) 854-3086

    Type: Location

  • 2030 WINDSOR RUN LN

    MATTHEWS, NC 281050054

    Phone: (704) 443-6250

    Type: Location

  • 5730 EXECUTIVE DR STE 230

    CATONSVILLE, MD 212281762

    Phone: (704) 443-6250

    Type: Mailing

  • 83, Bryant Road, Cranston, Providence County, Rhode Island, 02910, United States

    CRANSTON, RI 029105440

    Phone: (401) 738-4300

    Type: Mailing

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: 2021-04-12

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210412001421IClinical Social WorkerNCTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes17879$0
90834Psychotherapy, 45 minutes5334$0
View full utilization report →

Insurance plans in this area (ZIP 02886)

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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: 6406104165View full group profile
NameSpecialtyState
P O D I A T R YNC
Nurse PractitionerNC
Internal MedicineKY
Internal MedicineMD

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA GOODMAN NIEDERMAN (LCSW)?
LISA GOODMAN NIEDERMAN (LCSW) — NPI 1568470367 — is the standard way to identify this listing.
Does the file indicate LISA GOODMAN NIEDERMAN (LCSW) is practicing under active NPI?
Directory data currently reports LISA GOODMAN NIEDERMAN (LCSW) as active.
What is LISA GOODMAN NIEDERMAN (LCSW)'s specialty?
The listing groups LISA GOODMAN NIEDERMAN (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect LISA GOODMAN NIEDERMAN (LCSW) on a map?
Expect Warwick, Rhode Island as a primary anchor for LISA GOODMAN NIEDERMAN (LCSW) unless the record lists multiple sites.
Why does LISA GOODMAN NIEDERMAN (LCSW) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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