LISA MAY EDMONDSON LCSW
NPI 1265564645
Social Worker - Clinical in Knightdale, NC

Active since March 12, 2007PECOS Enrolled
106 N 1ST AVE, SUITE A, KNIGHTDALE, NC 27545(919) 210-4176(877) 757-4728 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa May Edmondson Lcsw NPPES

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

LISA MAY EDMONDSON LCSW (NPI 1265564645) is an individual clinical provider in Knightdale, North Carolina, licensed in North Carolina (C005608) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265564645
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MAY EDMONDSONCredential: LCSW
Location Address106 N 1ST AVE, SUITE AKnightdale, NC 27545-8093
Mailing Address106 Arbor Ridge CtKnightdale, NC 27545-9202 · (919) 210-4176 · Fax (877) 757-4728
Fax(877) 757-4728
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 12, 2007
Last NPPES UpdateJune 11, 2015
✔ NPI 1265564645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C005608
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.
106 N 1ST AVE, Knightdale, NC 27545

Other Identifiers 2

Medicare PIN2852410NC
Medicaid6106593NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa May Edmondson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436246535
PECOS Enrollment IDI20071107000035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Edmondson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
106 N 1ST AVE
KNIGHTDALE, NC 27545
Dentist (General Practice)
106 N 1ST AVE
KNIGHTDALE, NC 27545

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 Edmondson's NPI number?

The NPI number for Lisa Edmondson is 1265564645. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Lisa Edmondson located?

Lisa Edmondson practices at 106 N 1st Ave Suite A, Knightdale, NC 27545. The listed phone number is (919) 210-4176.

What is Lisa Edmondson's specialty?

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

Is Lisa Edmondson enrolled in Medicare?

Yes. Lisa Edmondson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Edmondson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Edmondson reassigns Medicare benefits to Sondermind PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Edmondson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Edmondson accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lisa Edmondson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Edmondson was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.