Lisa P. Burch is a Clinical in Ellington, Connecticut. Lisa P. Burch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa P. Burch is 1821151895. The last update date is 2007-07-08.
Lisa P. Burch's current location address is 19 Pinney St, Ellington, Connecticut. You can contact this provider via phone number 8608719295 and fax number 8608719271. The mailing address for Lisa P. Burch is 19 Pinney St, Ellington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa P. Burch |
|---|---|
| Address | 19 Pinney St, Ellington, Connecticut |
| Phone Number | 8608719295 |
| Fax Number | 8608719271 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1821151895 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19 Pinney St |
|---|---|
| City | Ellington |
| State | Connecticut (CT) |
| Post Code | 60293812 |
| Phone Number | 8608719295 |
| Fax Number | 8608719271 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1628 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140001628CT03 | CT | ANTHEM BC PIN | |
| 1628 | CT | LICENSE | |
| 105256 | MA | LICENSE | |
| 11241472 | CAQH PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa P. Burch by the Centers for Medicare & Medicaid Services?
The Lisa P. Burch has been assigned the NPI (National Provider Identifier) 1821151895. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lisa P. Burch is geographically located?
The Lisa P. Burch is physically situated at the following location: 19 Pinney St, Ellington, CT, 60293812.
What is Lisa P. Burch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa P. Burch is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Lisa P. Burch receive its 1821151895 assignment from the Centers for Medicare & Medicaid Services?
The Lisa P. Burch was assigned its 1821151895 on 2006-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lisa P. Burch most recently updated or refreshed?
The details pertaining to the Lisa P. Burch, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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