Lisa C Paul, Licsw LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

DP00942479 Issued in WV

Legal business name

LISA C PAUL, LICSW LLC

Practice address

5000 Greenbag Rd Ste E7
Morgantown, WV 26501-7123

Phone

(304) 319-0466

NPI assigned

May 12, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Carol Paul, MSW; LICSW

Title

Owner/Clinical Therapist

Phone

(304) 319-0466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368316800000",
    "number": "1578909073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PALMETTO DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088003",
            "telephone_number": "304-319-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GREENBAG RD STE E7",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265017123",
            "telephone_number": "304-319-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C PAUL, LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-12",
        "last_updated": "2013-05-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "304-319-0466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW; LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WV",
            "license": "DP00942479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lion Heart Home Care
• Christina G Lipscomb, LICSW
• Laurie Ann Lipscomb, LMT, MMT, BCTMB
• Mark Allen Liptrap, MS, MSW, LCSW
• Lisa Blosser, Ma,
• Mark Forrest Lisle, MD
• Paul Victor Liszka, MD
• Alexis Victoria Lites
• Lucy Litten
• Shirley Kathern Little

• Adult Mental Health Clinic/Center in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Adult Mental Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2013; 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.