Chisum, Lisa Danielle

Chisum, Lisa Danielle is an individual health care provider with primary practice located at 3719 Union Rd Ste 122 , Cheektowaga NY 14225-4250. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Chisum, Lisa Danielle can be contacted via phone (716) 783-0407.

Contact Information

Primary practice address
3719 Union Rd Ste 122 Cheektowaga NY 14225-4250
Phone: (716) 783-0407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 072664 New York

Profile Details

NPI number 1710911888
LBN Legal business name Chisum, Lisa Danielle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710911888 NPPES
New York Other 00030241501 UNIVERA
New York Other 5390701 UNIVERA

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