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NPI Code Detail

MEDICARE: URSULA LIEBOWITZ-JOHNSON LCSW

MEDICARE:   URSULA  LIEBOWITZ-JOHNSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904013545VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548900954
Entity Type Code : Individual
Provider Name (Legal Business Name) : URSULA LIEBOWITZ-JOHNSON LCSW
Provider Business Mailing Address
First Line : PO BOX 2549
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23058-2549
Country : US
Telephone Number : 804-681-2525
Fax Number : 804-230-0998
Provider Business Practice Location Address
First Line : 2604 N PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23294-4649
Country : US
Telephone Number : 804-651-2525
Fax Number : 804-230-0998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/01/2022

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Directions to “ URSULA LIEBOWITZ-JOHNSON LCSW” Practice Location

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