Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa May Edmondson, LCSW

Individual provider Clinical Social Worker · NPI 1265564645

Lisa May Edmondson, LCSW is a Clinical Social Worker in Knightdale, North Carolina. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
29
Licensed in
NC
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

106 N 1st Ave Ste A
Knightdale, NC 27545-8093
Phone: (919) 210-4176
Fax: (877) 757-4728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C005608 (NC)

Record details

NPI number1265564645
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJune 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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