| Lisa Duez Lcsw Llc | |
|
5301 Providence Rd Ste 20 Virginia Beach VA 23464-4128 | |
| (757) 347-8840 | |
| (746) 829-1667 |
| Full Name | Lisa Duez Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5301 Providence Rd Ste 20, Virginia Beach, Virginia |
| Authorized Official Name and Position | Lisa Ann Duez (OWNER) |
| Authorized Official Contact | 7575758331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Duez Lcsw Llc 5301 Providence Rd Ste 20 Virginia Beach VA 23464-4128 Ph: (757) 347-8840 | Lisa Duez Lcsw Llc 5301 Providence Rd Ste 20 Virginia Beach VA 23464-4128 Ph: (757) 347-8840 |
| NPI Number | 1659813996 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Medicare PECOS PAC ID | 2163703398 |
|---|---|
| Medicare Enrollment ID | O20170103000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659813996 | NPI | - | NPPES |
| Q45898A | Medicaid | VA | |
| 1104156231 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Duez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104156231 PECOS PAC ID: 5193956993 Enrollment ID: I20140319002139 |
| Provider Name | Deborah L Boan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649670654 PECOS PAC ID: 1951624832 Enrollment ID: I20141229002115 |
| Provider Name | Renata Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043724602 PECOS PAC ID: 5698022234 Enrollment ID: I20180727001084 |
| Provider Name | James R Baughman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356676852 PECOS PAC ID: 2860758042 Enrollment ID: I20190114003043 |
| Provider Name | Dona Stover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245745603 PECOS PAC ID: 0042547812 Enrollment ID: I20190816001294 |
| Provider Name | Tiffany N Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467014944 PECOS PAC ID: 8729310776 Enrollment ID: I20191024002447 |
| Provider Name | Jessica Loren Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083234637 PECOS PAC ID: 2365873106 Enrollment ID: I20200512002611 |
| Provider Name | Ady Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578140380 PECOS PAC ID: 3971905886 Enrollment ID: I20210715000787 |
| Provider Name | Jennifer Taylor Allison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205641859 PECOS PAC ID: 6800315094 Enrollment ID: I20250521000674 |
| Provider Name | Virginia Victoria Cutright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780420539 PECOS PAC ID: 9436669710 Enrollment ID: I20250606000094 |
| Provider Name | Gladylu Burgos Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174230841 PECOS PAC ID: 7618487588 Enrollment ID: I20250610001507 |
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