| Lisa Harmon, Lcsw, Inc | |
|
4830 S 69th St Lincoln NE 68516-1501 | |
| (402) 327-9751 | |
| Not Available |
| Full Name | Lisa Harmon, Lcsw, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4830 S 69th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Lisa Harmon (PRESIDENT) |
| Authorized Official Contact | 4023279751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Harmon, Lcsw, Inc 4830 S 69th St Lincoln NE 68516-1501 Ph: (402) 327-9751 | Lisa Harmon, Lcsw, Inc 4830 S 69th St Lincoln NE 68516-1501 Ph: (402) 327-9751 |
| NPI Number | 1003840281 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/05/2013 |
| Medicare PECOS PAC ID | 5890798912 |
|---|---|
| Medicare Enrollment ID | O20060810000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003840281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1618 (Nebraska) | Primary |
| Provider Name | Lisa A Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477598720 PECOS PAC ID: 0648171280 Enrollment ID: I20040116000708 |
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