Reardon, Lisa Joan

Reardon, Lisa Joan is an sole proprietor health care provider with primary practice located at 415 Michigan Ave Ne Ste 20 , Washington DC 20017-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reardon, Lisa Joan can be contacted via phone (202) 321-3781.

Contact Information

Primary practice address
415 Michigan Ave Ne Ste 20 Washington DC 20017-4500
Phone: (202) 321-3781
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC301995 District of Columbia

Profile Details

NPI number 1598765257
LBN Legal business name Reardon, Lisa Joan
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated May 22nd, 2024 - about 2 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 1598765257 NPPES
District of Columbia Other 6210-0001 BCBS CARE FIRST
District of Columbia Other QI18LJ BCBS CARE FIRST
District of Columbia Other 593365000 BCBS CARE FIRST
District of Columbia Other 100032383001 BCBS CARE FIRST

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