Lisa Gale Perdue, GSW
Social Worker, Clinical in Summersville, WV. Individual provider (NPI-1).
NPI number1922544097
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1922544097
- Entity type
- Individual (NPI-1)
- Name
- Lisa Gale Perdue
- Credential
- GSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2017
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | DP00940486 | WV | Yes |
| 104100000X | Social Worker | BP00940486 | WV |
Practice location
30 Grizzley LnSummersville, WV 26651-9736
Phone 304-574-2905 · Fax 304-469-2981
Mailing address
497 Mall RdOak Hill, WV 25901-6216
Phone 304-469-2905 · Fax 304-465-1518
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All 8 Clinical Social Worker providers in Summersville · All 776 providers in Summersville
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