Lisa A Withrow, MSSW, LCSW is a
Social Worker - Clinical based in Evansville, Indiana. Lisa A Withrow is licensed to practice in Indiana (license number 34003565A) and her current practice location is
415 Mulberry St, Evansville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 473-3144.
NPI number for Lisa A Withrow is 1669696050 and her current mailing address is 415 Mulberry Street, Evansville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669696050.
Healthcare Provider's Profile
Full Name | Lisa A Withrow |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 415 Mulberry St, Evansville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669696050
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 08/27/2020
Medical Identifiers
Medical identifiers for Lisa A Withrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669696050 | NPI | - | NPPES |
100240880 | Medicaid | IN | |
000000 | Other | | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34003565A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa A Withrow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa A Withrow, MSSW, LCSW 415 Mulberry Street, Evansville, IN 47713-1230 Ph: (812) 423-7791 | Lisa A Withrow, MSSW, LCSW 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 473-3144 |
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