MEDICARE: MS. LISA MCPHERSON ROBINSON MSW, LCSW-C, BCD

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
1	1041C0700X	Clinical Social Worker	08287	MD

General Provider Information

NPI Number	:	1902262801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA MCPHERSON ROBINSON MSW, LCSW-C, BCD

Provider Business Mailing Address
First Line	:	7813 MAPLE RIDGE RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1305
Country	:	US
Telephone Number	:	301-704-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	7813 MAPLE RIDGE RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1305
Country	:	US
Telephone Number	:	301-704-1330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	01/07/2016

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