Healthcare Provider Details

I. General information

NPI: 1033497862
Provider Name (Legal Business Name): LOVELL HEMPHILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date: 03/13/2017
Reactivation Date: 09/18/2017

III. Provider practice location address

1270 KINGS HWY
LEWES DE
19958-1735
US

IV. Provider business mailing address

12850 OLD STAGE RD
BISHOPVILLE MD
21813-1260
US

V. Phone/Fax

Practice location:
  • Phone: 302-684-4950
  • Fax:
Mailing address:
  • Phone: 443-235-1429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001095
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: