Carter, Lisa C

Carter, Lisa C is an sole proprietor health care provider with primary practice located at 2580 Pruden Blvd , Suffolk VA 23434-4229. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carter, Lisa C can be contacted via phone (757) 934-2363.

Contact Information

Primary practice address
2580 Pruden Blvd Suffolk VA 23434-4229
Phone: (757) 934-2363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904004536 Virginia

Profile Details

NPI number 1427530732
LBN Legal business name Carter, Lisa C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2018
Last updated Sep 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427530732 NPPES
Virginia Other 0904004536 LICENSE

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