Lisa E Clevinger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003658 Issued in VA

Practice address

2621 Promenade Pkwy
Midlothian, VA 23113-1431

Phone

(804) 594-7046

Fax

(804) 594-2635

NPI assigned

Jun 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805
  NPD (past)
• Mary Washington Healthcare Specialty Services LLC

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1821033010
  NPD (past)
• VA Institute of Neuropsychiatry, Inc.

  • Psychiatry Physician
  • Midlothian, VA
  • NPI 1124062468
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467489641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131431",
            "telephone_number": "804-594-7046",
            "fax_number": "804-594-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131431",
            "telephone_number": "804-594-7046",
            "fax_number": "804-594-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVINGER",
        "first_name": "LISA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "178404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Weathers Clarke, RPH
• Sharon J Clarke, FNP
• Christine Cleary
• Debra Lynn Clements, RPH
• Russell A. Cleveland, DDS
• Ashley Estelle Cliborne, LCSW
• Cloud Managed Services Group, Inc
• James Cluverius
• Eloise Jane Cobb, PSYCHOLOGIST
• Christine Coffman

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, 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 Jul 8, 2007; 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.