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Lisa Kimberly Livingston, MSW, LCSW, LISW

Social Worker, Clinical in Davenport, IA. Individual provider (NPI-1).

NPI number1124373402
StatusActive
Last updated in NPPESJul 23, 2012

Details

NPI
1124373402
Entity type
Individual (NPI-1)
Name
Lisa Kimberly Livingston
Credential
MSW, LCSW, LISW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 23, 2012
Last updated
Jul 23, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical007754IAYes

Practice location

2800 Eastern Ave
Davenport, IA 52803-2012

Phone 563-445-0557

Mailing address

2634 Glenn St
Bettendorf, IA 52722-3824

Phone 510-295-8405

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Davenport, IA

All 121 Clinical Social Worker providers in Davenport · All 2,731 providers in Davenport

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