Lisa P Burch, LCSW
Social Worker, Clinical in Ellington, Connecticut
1821151895- Practice location
- 19 Pinney St, Ellington, CT 06029-3812
- Phone
- 860-871-9295
- Fax
- 860-871-9271
- Last updated
- July 8, 2007
Lisa P. Burch is a Social Worker, Clinical based in Ellington, CT. Lisa P. Burch practices in Ellington, CT and has the professional credentials of LCSW. The NPI Number for Lisa P. Burch is 1821151895 and holds a License No. 001628 (CT). The current practice location address for Lisa P. Burch is 19 Pinney St, Ellington, CT 06029-3812 and can be reached out via phone at 860-871-9295 and via fax at 860-871-9271.
Provider Profile Details
- NPI Number
- 1821151895
- Provider Name
- Lisa P. Burch
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Pinney St, Ellington, CT 06029-3812
- Phone Number
- 860-871-9295
- Fax Number
- 860-871-9271
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- -- Lisa Miriam Passalacqua (Former Name)
- Provider Enumeration Date
- December 19, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Pinney St
Ellington, CT 06029-3812 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-3812
- Phone Number
- 860-871-9295
- Fax Number
- 860-871-9271
Provider Business Mailing Address Details
- Address
- 19 Pinney St
Ellington, CT 06029-3812 - City
- Ellington
- State
- CT
- Zip
- 06029-3812
- Phone Number
- 860-871-9295
- Fax Number
- 860-871-9271
License Information
- License Number (1)
- 001628
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- 105256
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Ellington, CT
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Frequently Asked Questions
What is the NPI number of Lisa P Burch, LCSW?
The NPI number of Lisa P Burch, LCSW is 1821151895. It was assigned on December 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa P Burch, LCSW?
Lisa P Burch, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 001628.
Where does Lisa P Burch, LCSW practice?
The practice location is 19 Pinney St, Ellington, CT 06029-3812. The office can be reached at 860-871-9295 (phone) or 860-871-9271 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821151895 directly on the NPPES registry website.