Lisa Nazworth Llc | |
3781 Westerre Pkwy Ste F Henrico VA 23233-1328 | |
(804) 221-5646 | |
Not Available |
Full Name | Lisa Nazworth Llc |
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Speciality | Social Worker |
Location | 3781 Westerre Pkwy Ste F, Henrico, Virginia |
Authorized Official Name and Position | Lisa Price Nazworth (OWNER) |
Authorized Official Contact | 8042215646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lisa Nazworth Llc 3781 Westerre Pkwy Ste F Henrico VA 23233-1328 Ph: (804) 221-5646 | Lisa Nazworth Llc 3781 Westerre Pkwy Ste F Henrico VA 23233-1328 Ph: (804) 221-5646 |
NPI Number | 1538693007 |
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Provider Enumeration Date | 04/12/2017 |
Last Update Date | 04/12/2017 |
Medicare PECOS PAC ID | 8022388123 |
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Medicare Enrollment ID | O20170724000016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538693007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904008735 (Virginia) | Primary |
Provider Name | Lisa P Nazworth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982045829 PECOS PAC ID: 9931189297 Enrollment ID: I20150421000837 |
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