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MRS. LISA ATHENIA CHAPLIN LCSW-C, LICSW
NPI 1912157983
Social Worker - Clinical in Durham, NC

Active since September 25, 2008PECOS Enrolled
4820 ROCKPORT DR, DURHAM, NC 27703(301) 613-7709 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Lisa Athenia Chaplin Lcsw-c, Licsw NPPES

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

MRS. LISA ATHENIA CHAPLIN LCSW-C, LICSW (NPI 1912157983) is an individual clinical provider in Durham, North Carolina, licensed in Maryland (13728) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912157983
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA ATHENIA CHAPLINCredential: LCSW-C, LICSW
Location Address4820 ROCKPORT DRDurham, NC 27703-5997
Mailing Address4820 Rockport DrDurham, NC 27703-5997 · (301) 613-7709
Phone(301) 613-7709
Sole ProprietorYes
Enumeration DateSeptember 25, 2008
Last NPPES UpdateNovember 20, 2014
✔ NPI 1912157983 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 MD · 13728✔ Licensed in DC · LC50078500✔ Licensed in NC · C008555
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.
4820 ROCKPORT DR, Durham, NC 27703
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Athenia Chaplin Lcsw-c, Licsw 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Chaplin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
704 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Massachusetts and North Carolina enrollments
  • 522 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Brightside Medical Of New Jersey, P.C.
2,399 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Brightside Medical Of New Jersey PC
  • 112 clinicians in this Medicare group
NPI 1811524754 (415) 360-3348

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 27703 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.

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 Chaplin's NPI number?

The NPI number for Lisa Chaplin is 1912157983. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Lisa Chaplin located?

Lisa Chaplin practices at 4820 Rockport Dr, Durham, NC 27703. The listed phone number is (301) 613-7709.

What is Lisa Chaplin's specialty?

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

Is Lisa Chaplin enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Chaplin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Chaplin reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Brightside Medical Of New Jersey, P.C. (San Francisco, CA). Each 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 Chaplin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Chaplin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Cigna Healthcare, Harvard Pilgrim Health Care and UnitedHealthcare list Lisa Chaplin 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 Chaplin was last updated on November 20, 2014. 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.