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NPI Code Detail

MEDICARE: MS. LISA MORRIS LCSW

MEDICARE: MS. LISA MORRIS 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 Worker0904005903VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1O89895MOTHEROPTIMA
2346098OTHERANTHEM
3324461OTHERVALUE OPTION

General Provider Information

NPI Number : 1689698086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA MORRIS LCSW
Provider Business Mailing Address
First Line : 10299 WOODMAN RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4419
Country : US
Telephone Number : 804-727-8464
Fax Number :
Provider Business Practice Location Address
First Line : 10299 WOODMAN ROAD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4419
Country : US
Telephone Number : 804-727-8464
Fax Number : 804-727-8364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/30/2021

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Directions to “ MS. LISA MORRIS LCSW” Practice Location

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