=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861545311
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LISA K STEINER LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 28208 ST R #1
-----------------------------------------------------
City | W HARRISON
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-576-1600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 285 BIELBY RD
-----------------------------------------------------
City | LAWRENCEBURG
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47025-1055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-537-1302
-----------------------------------------------------
Fax | 812-537-5219
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 34005073A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------