Lisa Faye Cowan, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904004802 Issued in VA

Practice address

748 Lord Dunmore Dr
Suite 107
Virginia Beach, VA 23464-2664

Phone

(619) 892-1379

Fax

(757) 486-3429

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1336339886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 LORD DUNMORE DR",
            "address_2": "SUITE 107",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642664",
            "telephone_number": "619-892-1379",
            "fax_number": "757-486-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 LORD DUNMORE DR",
            "address_2": "SUITE 107",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642664",
            "telephone_number": "619-892-1379",
            "fax_number": "757-486-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "LISA",
        "middle_name": "FAYE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaysun K Cousins, MD
• Cova Vision, P.C.
• Brandi Nicole Covil, MSN, APRN, FNP-BC
• Alyssa Cowan
• Bethany Labossier Cowan
• Alice Mable Lee Cowans
• Stacy Denise Coward, RN
• Sandra McKean Cowden, PHYSICAL THERAPIST
• Savanna Cowling
• Benet E Cox

• Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.