MS. LISA RENEE MCBROOM MSW, LCSWA
NPI 1679444624
Social Worker - Clinical in Charlotte, NC

Active since September 15, 2025
5601 EXECUTIVE CENTER DR STE 200, CHARLOTTE, NC 28212(704) 537-1022(704) 569-0822 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lisa Renee Mcbroom Msw, Lcswa NPPES

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

MS. LISA RENEE MCBROOM MSW, LCSWA (NPI 1679444624) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P022993) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1679444624
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA RENEE MCBROOMCredential: MSW, LCSWA
Location Address5601 EXECUTIVE CENTER DR STE 200Charlotte, NC 28212-8841
Mailing Address5601 Executive Center Dr Ste 200Charlotte, NC 28212-8841 · (704) 537-1022 · Fax (704) 569-0822
Fax(704) 569-0822
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
NPI 1679444624 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 · P022993
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.

5601 EXECUTIVE CENTER DR STE 200, Charlotte, NC 28212

Other Providers at the Same Location NPPES 14

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

Community/Behavioral Health
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Community/Behavioral Health
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Social Worker (Clinical)
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Social Worker (Clinical)
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Counselor (Professional)
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Social Worker (Clinical)
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Social Worker (Clinical)
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212
Non-emergency Medical Transport (VAN)
5601 EXECUTIVE CENTER DR STE 200
CHARLOTTE, NC 28212

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 Mcbroom's NPI number?

The NPI number for Lisa Mcbroom is 1679444624. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Lisa Mcbroom located?

Lisa Mcbroom practices at 5601 Executive Center Dr Ste 200, Charlotte, NC 28212. The listed phone number is (704) 537-1022.

What is Lisa Mcbroom's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Mcbroom was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.