Clevinger, Lisa E

Clevinger, Lisa E is an individual health care provider with primary practice located at 2621 Promenade Pkwy , Midlothian VA 23113-1431. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clevinger, Lisa E can be contacted via phone (804) 594-7046.

Contact Information

Primary practice address
2621 Promenade Pkwy Midlothian VA 23113-1431
Phone: (804) 594-7046
Fax: (804) 594-2635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003658 Virginia

Profile Details

NPI number 1467489641
LBN Legal business name Clevinger, Lisa E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1467489641 NPPES
Virginia Other 178404 ANTHEM BLUE SHIELD

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