LISA JOAN REARDON (NPI# 1598765257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598765257 |
| Entity Type | Individual |
| Full Name | LISA JOAN REARDON |
| Other Name | ELIZABETH JOAN REARDON |
| Credential | LICSW |
| Practice Address |
1325 Quincy St Ne Washington DC 20017-2615 |
| Practice Telephone | 2025264445 |
| Practice Fax Number | 2025267401 |
| Mailing Telephone | 2025264445 |
| Mailing Fax Number | 2025267401 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC301995 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CARE FIRST PIN | QI18LJ | 01 |
| DC | BCBS CARE FIRST | 6210-0001 | 01 |
| MD | PROVIDER MIS# | 593365000 | 01 |
| MD | APS PROVIDER # | 100032383001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407890130 | Lisa Cox Reardon | Nursing Home Administrator | 307 North Castleman Street, Oak Grove, LA 71263-0788 | 2006-06-15 |
| 1275905523 | Lisa Ann Reardon | Physical Therapist | 70 Butler Street, Salem, NH 03079-3974 | 2015-10-27 |
| 1326329533 | Lisa M Reardon | Nurse Practitioner | 1 Compass Way, Suite 109, East Bridgewater, MA 02333-1465 | 2011-09-01 |
| 1306085485 | Lisa M Reardon | Social Worker | 320 Pomfret St, Putnam, CT 06260-1836 | 2009-02-12 |
| 1700049228 | Lisa Marie Reardon | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2008-07-03 |
| 1457401093 | Lisa J Reardon | Physical Therapist | 400 Enterprise Drive, Suite 3, Scarborough, ME 04074 | 2007-01-12 |
| Street Address |
1325 QUINCY ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951966 | Aicha Cisse | Counselor | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2020-08-07 |
| 1912528969 | Diane Marie Jefferson | Social Worker | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2020-04-30 |
| 1902363575 | Next Level Therapeutic Interventions | Social Worker | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2019-03-01 |
| 1225545593 | Sarah Meharg Msw, Pllc | Social Worker | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2018-01-08 |
| 1104366814 | Achieving Joy LLC | Counselor | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2017-02-28 |
| 1770970063 | Joy Petway | Social Worker | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2015-04-24 |
| 1902201197 | Awa Jangha | Counselor | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2014-10-30 |
| 1992142244 | Christian Fellowship for The Mentally Ill | Psychologist | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2013-05-28 |
| 1821349606 | Ebony Payne | Massage Therapist | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2012-09-20 |
| 1992032684 | Diane Marie Jones | Social Worker | 1325 Quincy St Ne, Washington, DC 20017-2615 | 2009-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254769 | Ayana E Thompson | Social Worker | 706 Burns St Se, Washington, DC 20019-4913 | 2020-10-27 |
| 1265030282 | Amy Killy | Social Worker | 5402 Connecticut Ave Nw Ste 102, Washington, DC 20015-2830 | 2020-10-12 |
| 1144828385 | Ann Morrison | Social Worker | 5333 Connecticut Ave Nw Apt 528, Washington, DC 20015-1895 | 2020-10-10 |
| 1225645591 | Rs Davis Health & Wellness, LLC | Social Worker | 3200 Martin Luther King Jr Ave Se, Washington, DC 20032-1538 | 2020-09-30 |
| 1114534716 | Beth Anne Henson | Social Worker | 2717 Unicorn Ln Nw, Washington, DC 20015-2233 | 2020-09-28 |
| 1588271407 | Andrew Thomas | Social Worker | 801 Pa Ave Se, Washington, DC 20003-2167 | 2020-09-24 |
| 1043826324 | Wellness Reset Solutions LLC | Social Worker | 255 Carroll St Nw Apt 552, Washington, DC 20012-2093 | 2020-09-21 |
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1538779863 | Moore Therapeutic and Consulting Services | Social Worker | 1600 Maryland Ave Ne Apt 257, Washington, DC 20002-7662 | 2020-08-02 |
| 1992313266 | Paula Nicole Thomason | Social Worker | 4407 2nd St Ne Apt 2, Washington, DC 20011-5142 | 2020-07-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
Please comment or provide details below to improve the information on LISA JOAN REARDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.