Lisa J. Keith, Lcsw, Pllc in Goldsboro - Clinical
Lisa J. Keith, Lcsw, Pllc - NPI 1124124151
Lisa J. Keith, Lcsw, Pllc is a Clinical in Goldsboro, North Carolina. Lisa J. Keith, Lcsw, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa J. Keith, Lcsw, Pllc is 1124124151. The last update date is 2009-01-16.
Lisa J. Keith, Lcsw, Pllc's current location address is 112 Adler Ln, Goldsboro, North Carolina. You can contact this provider via phone number 9195800790 and fax number 9197359238. The mailing address for Lisa J. Keith, Lcsw, Pllc is 112 Adler Ln, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisa J. Keith, Lcsw, Pllc |
|---|---|
| Address | 112 Adler Ln, Goldsboro, North Carolina |
| Phone Number | 9195800790 |
| Fax Number | 9197359238 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER/PA |
|---|---|
| Authorized Official Name | Keith Johnson Lisa |
| Credentials | LCSW |
| Telephone Number | 9199222055 |
NPI Number Detail
| NPI Number | 1124124151 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2009-01-16 |
Provider Mailing Address Detail
| Address | 112 Adler Ln |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275305513 |
| Phone Number | 9195800790 |
| Fax Number | 9197359238 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C002693 |
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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 |
|---|---|---|---|
| 6005936 | NC | -- | |
| 785920000 | NC | MAGELLAN | |
| 142JF | NC | BCBS OF NC | |
| 190281 | NC | MEDCOST |
Post Comment/ Review Below
What is the Lisa J. Keith, Lcsw, Pllc's 1124124151?
The Lisa J. Keith, Lcsw, Pllc's NPI (National Provider Identifier) Number is 1124124151. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisa J. Keith, Lcsw, Pllc's physical address?
The Lisa J. Keith, Lcsw, Pllc is physically located at 112 Adler Ln, in the city of Goldsboro, NC, with the postal code 275305513.
What is Lisa J. Keith, Lcsw, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa J. Keith, Lcsw, Pllc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124124151 to Lisa J. Keith, Lcsw, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1124124151 to Lisa J. Keith, Lcsw, Pllc on 2006-09-16.
As of what date were the Lisa J. Keith, Lcsw, Pllc's details last updated?
The information pertaining to the Lisa J. Keith, Lcsw, Pllc, including its address, specialty, and other details, was most recently updated on 2009-01-16.
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