Lisa Lynn Frady is a Clinical in Mount Dora, Florida. Lisa Lynn Frady practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Lynn Frady is 1407806284. The last update date is 2014-06-25.
Lisa Lynn Frady's current location address is 1175 Lucerne Dr, Mount Dora, Florida. You can contact this provider via phone number 3524462011 and fax number 3523850128. The mailing address for Lisa Lynn Frady is 1175 Lucerne Dr, Mount Dora, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Lynn Frady |
|---|---|
| Address | 1175 Lucerne Dr, Mount Dora, Florida |
| Phone Number | 3524462011 |
| Fax Number | 3523850128 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1407806284 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 1175 Lucerne Dr |
|---|---|
| City | Mount Dora |
| State | Florida (FL) |
| Post Code | 327573639 |
| Phone Number | 3524462011 |
| Fax Number | 3523850128 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 10470 |
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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 |
|---|---|---|---|
| 2088872 | FL | CIGNA | |
| 273250802 | FL | MAGELLAN | |
| 273250802 | FL | TRICARE | |
| TN01R5620547289 | TN | JOHNDEERE-BEHAVIOR HEALTH | |
| 273250802 | FL | HUMANA | |
| 273250802 | FL | PSYCHCARE | |
| 3927870 | TN | FEI-BEHAVIORAL HEALTH PRO | |
| 22688 | TN | VMC - BEHAVIORAL HEALTH P | |
| 11442656 | TN | CAQH-BEHAVIOR HEALTH PROV | |
| 832983633 | FL | UHC/UBH |
Post Comment/ Review Below
What is the Lisa Lynn Frady's 1407806284?
The Lisa Lynn Frady's NPI (National Provider Identifier) Number is 1407806284. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Lynn Frady located?
The Lisa Lynn Frady is located at 1175 Lucerne Dr, Mount Dora, FL 327573639.
What is Lisa Lynn Frady's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Lynn Frady is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Lisa Lynn Frady receive its 1407806284 assignment?
The Lisa Lynn Frady was assigned its 1407806284 on 2006-05-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Lisa Lynn Frady most recently updated or revised?
The information pertaining to Lisa Lynn Frady, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-25.
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