Organization Active NPI

Lisa Lam LCSW LLC

  • Clinical Social Worker
  • Burke, VA
National Provider Identifier
1508682659
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LISA LAM LCSW LLC
Doing business as
Playfully Resilient Counseling Center
Practice address
5641 Burke Centre Pkwy Ste 206
Burke, VA 22015-2259
Phone
(571) 601-2822
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Lisa LamNPI 1548388200
Title
Owner
Phone
(571) 601-2822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5641 Burke Centre Pkwy Ste 206
Burke, VA 22015-2259

Mailing address

5641 Burke Centre Pkwy Ste 206
Burke, VA 22015-2259
Phone (571) 601-2822

Other names 1

  • Playfully Resilient Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

5641 Burke Centre Pkwy
Ste 206
Burke, VA 22015
Phone (301) 392-7908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1508682659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 BURKE CENTRE PKWY STE 206",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152259",
            "telephone_number": "571-601-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 BURKE CENTRE PKWY STE 206",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152259",
            "telephone_number": "571-601-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA LAM LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-601-2822"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playfully Resilient Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.