Reardon, Lisa Joan
Reardon, Lisa Joan is an sole proprietor health care provider with primary practice located at 415 Michigan Ave Ne Ste 20 , Washington DC 20017-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reardon, Lisa Joan can be contacted via phone (202) 321-3781.Contact Information
Primary practice address
415 Michigan Ave Ne Ste 20
Washington DC 20017-4500
Phone: (202) 321-3781
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC301995 | District of Columbia |
Profile Details
NPI number | 1598765257 |
---|---|
LBN Legal business name | Reardon, Lisa Joan |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2005 |
Last updated | May 22nd, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598765257 | NPPES |
District of Columbia | Other | 6210-0001 | BCBS CARE FIRST |
District of Columbia | Other | QI18LJ | BCBS CARE FIRST |
District of Columbia | Other | 593365000 | BCBS CARE FIRST |
District of Columbia | Other | 100032383001 | BCBS CARE FIRST |
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