Clarissa Lane, LCSW is a
Social Worker - Clinical based in Fort Blackmore, Virginia. Clarissa Lane is licensed to practice in Virginia (license number 0904016578) and her current practice location is
11839 Veterans Memorial Hwy, Fort Blackmore, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 248-8199.
NPI number for Clarissa Lane is 1619663564 and her current mailing address is 11839 Veterans Memorial Hwy, Fort Blackmore, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619663564.
Healthcare Provider's Profile
Full Name | Clarissa Lane |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11839 Veterans Memorial Hwy, Fort Blackmore, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619663564
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 05/21/2024
Medical Identifiers
Medical identifiers for Clarissa Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619663564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904016578 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarissa Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clarissa Lane, LCSW 11839 Veterans Memorial Hwy, Fort Blackmore, VA 24250-2676 Ph: (276) 248-8199 | Clarissa Lane, LCSW 11839 Veterans Memorial Hwy, Fort Blackmore, VA 24250-2676 Ph: (276) 248-8199 |
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