Active NPI
Meghan Lisenby, LCSW
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1962240192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 999 Waterside Dr Ste 2606
Norfolk, VA 23510-3300 - Phone
- (757) 632-0710
- NPI assigned
- Jul 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
999 Waterside Dr Ste 2606
Norfolk, VA 23510-3300
Mailing address
2102 Agecroft Rd
Virginia Beach, VA 23454-5859
Phone (952) 607-8529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1962240192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 AGECROFT RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545859",
"telephone_number": "952-607-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 WATERSIDE DR STE 2606",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235103300",
"telephone_number": "757-632-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISENBY",
"first_name": "MEGHAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.