LISA IBEKWE LCSW
NPI 1003327933
Social Worker - Clinical in Macon, GA

Active since October 18, 2017Opted out of Medicare · through May 15, 2028
1091 OVERLOOK PKWY, MACON, GA 31210(470) 242-6140 Get Directions Write a Review

NPPES record last updated: January 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2020, Dec 2, 2019, Oct 18, 2017 (3 updates tracked since 2017).

About Lisa Ibekwe Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA IBEKWE LCSW (NPI 1003327933) is an individual clinical provider in Macon, Georgia, licensed in Georgia (CSW006976) and active in the NPI registry since October 2017. She has opted out of Medicare through May 15, 2028 and maintains a secondary practice location in Kennesaw.

NPPES Registry Identity

NPI1003327933
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA IBEKWECredential: LCSW
Location Address1091 OVERLOOK PKWYMacon, GA 31210
Mailing Address3001 Brass DrAustell, GA 30106-1043 · (678) 717-9119
Sole ProprietorYes
Enumeration DateOctober 18, 2017
Last NPPES UpdateJanuary 4, 20203 updates tracked since enumeration
NPI 1003327933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in GA · CSW006976 Licensed in GA · MSW007359
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1091 OVERLOOK PKWY, Macon, GA 31210

Secondary Practice Location 1

Location 11291 Stanley Rd NWKennesaw, GA 30152-4359 · Phone (770) 427-0147 ext. 2462

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lisa Ibekwe Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2024 through May 15, 2028.

Opt-Out Effective DateMay 15, 2024
Opt-Out In Effect ThroughMay 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1091 OVERLOOK PKWY, #618
MACON, GA 31210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Ibekwe's NPI number?

The NPI number for Lisa Ibekwe is 1003327933. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is Lisa Ibekwe located?

Lisa Ibekwe practices at 1091 Overlook Pkwy, Macon, GA 31210. The listed phone number is (470) 242-6140.

What is Lisa Ibekwe's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Ibekwe enrolled in Medicare?

No. Lisa Ibekwe has opted out of Medicare through May 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Ibekwe was last updated on January 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.