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MS. LISA ANNE PEATY LCSW
NPI 1811181050
Social Worker - Clinical in Winston Salem, NC

Active since August 30, 2007Opted out of Medicare · through May 28, 2028
610 COLISEUM DR, WINSTON SALEM, NC 27106(336) 722-8173(336) 724-6491 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lisa Anne Peaty Lcsw NPPES

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

MS. LISA ANNE PEATY LCSW (NPI 1811181050) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C004933) and active in the NPI registry since August 2007. She has opted out of Medicare through May 28, 2028.

NPPES Registry Identity

NPI1811181050
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA ANNE PEATYCredential: LCSW
Location Address610 COLISEUM DRWinston Salem, NC 27106-5325
Mailing Address610 Coliseum DrWinston Salem, NC 27106-5325 · (336) 722-8173 · Fax (336) 724-6491
Phone(336) 722-8173
Fax(336) 724-6491
Sole ProprietorNo
Enumeration DateAugust 30, 2007
✔ NPI 1811181050 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 · C004933
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.
610 COLISEUM DR, Winston Salem, NC 27106
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Other Names 1

Former Name (1)Ms. Lisa Anne Sinksen Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Lisa Anne Peaty 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 28, 2020 through May 28, 2028.

Opt-Out Effective DateMay 28, 2020
Opt-Out In Effect ThroughMay 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

MR. JAMES MITCHELL LCSW
Social Worker (Clinical)
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
MR. ROBERT A. PEATY LMFT
Marriage & Family Therapist
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
MS. JOETTA A. SHEPHERD MSW, LCSW
Social Worker (Clinical)
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173
YOSHICAZU D NAGAISHI MSW
Marriage & Family Therapist
610 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 722-8173

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 Peaty's NPI number?

The NPI number for Lisa Peaty is 1811181050. It was assigned to this individual provider in the NPPES registry on August 30, 2007. The provider is also known as Ms. Lisa Anne Sinksen Lcsw.

Where is Lisa Peaty located?

Lisa Peaty practices at 610 Coliseum Dr, Winston Salem, NC 27106. The listed phone number is (336) 722-8173.

What is Lisa Peaty's specialty?

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

Is Lisa Peaty enrolled in Medicare?

No. Lisa Peaty has opted out of Medicare through May 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lisa Peaty accept?

Health plans from Blue Cross and Blue Shield of NC list Lisa Peaty 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 Peaty was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.