LISA DIANE CARRICO
NPI 1801412895
Social Worker - Clinical in Indianapolis, IN

Q: What is Lisa Carrico's NPI number?

The NPI number for Lisa Carrico is 1801412895. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Q: What is Lisa Carrico's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Carrico was last updated on June 25, 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.

Active since June 25, 2020PECOS Enrolled

6640 INTECH BLVD STE 195, INDIANAPOLIS, IN 46278(317) 295-0608(317) 295-0622 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Diane Carrico NPPES

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

LISA DIANE CARRICO (NPI 1801412895) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34002668A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801412895

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISA DIANE CARRICO

Location Address6640 INTECH BLVD STE 195Indianapolis, IN 46278-2014

Mailing Address6640 Intech Blvd Ste 195Indianapolis, IN 46278-2014 · (317) 295-0608 · Fax (317) 295-0622

Phone(317) 295-0608

Fax(317) 295-0622

Sole ProprietorNo

Enumeration DateJune 25, 2020

NPPES CertifiedJune 25, 2020

✔ NPI 1801412895 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 IN · 34002668A

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.

6640 INTECH BLVD STE 195, Indianapolis, IN 46278

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Diane Carrico is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 8

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

DR. BRIANNA MARGO BORRI PSYD.

Psychologist (Clinical Child & Adolescent)