MRS. LISA ANN ANTONICK LCSW NPI 1043229016

NPI Information

  • NPI: 1043229016
  • Provider Name: MRS. LISA ANN ANTONICK, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 LONGLEAF PL
    CARY, NC
    ZIP 27518
  • Phone: (518) 669-1798

Map and Directions

Get Directions

NPI Details

MRS. Lisa Ann Antonick, LCSW is a clinical social worker in Cary, NC with 33 years of experience. The provider is 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. MRS. Lisa Ann Antonick, LCSW NPI is 1043229016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 LONGLEAF PL
CARY, NC
ZIP 27518-919
Phone: (518) 669-1798

The NPI 1043229016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalC006509NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000403187001OTHERBS NE NY
2GROUP NUMBEROTHERNORTH CAROLINABLUE CROSS OF NORTH CAROLINA
3248368OTHERVALUE OPTIONS
402348474MEDICAIDNEW YORK
5N7L561OTHEREMPIRE
6257617OTHERCOM PSYCH
7326051OTHERMHN
8537788000OTHERMAGELLAN
96007404MEDICAIDNORTH CAROLINA
10040426032094OTHERFIDELIS
11361170OTHERMVP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI