Lisa Iervolino Panelo, MS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006502 Issued in VA

Practice address

3419 Virginia Beach Blvd # 5130
Virginia Beach, VA 23452-4419

Phone

(757) 346-4776

NPI assigned

Apr 12, 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

Other identifiers 1

Other names 1

• Lisa Jarrett Iervolino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• National Counseling Group, Inc

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1447345145
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1376767244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 5130",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "telephone_number": "757-346-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 5130",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "telephone_number": "757-346-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANELO",
        "first_name": "LISA",
        "middle_name": "IERVOLINO",
        "name_prefix": "Ms.",
        "credential": "MS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376767244",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "IERVOLINO",
            "middle_name": "JARRETT",
            "credential": "MS, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence Ray Palmiter Jr., FNP-C
• John K Palting, MD
• Martha Brickey Pandajis, PA-C
• Katherine Erin Pande, D.C.
• Tara L Pandiscia, PT, DPT
• Tomas Paneque, MD
• Jon Rudolf Pangan, INDEPENDENT DUTY HM
• Alicia Garcia Pangilinan, MD
• Justine Pangilinan, FNP-C
• Gunadhar Panigrahi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.