National Provider Identifier
Lisa Anne Kendall, LCSW-R
Lisa Anne Kendall, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 351-1313.
Profile Overview
- NPI
- 1326374224
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 27, 2009
- Last Updated
- December 09, 2015
Practice Location
- 401 East State Street
- Suite 400, Office #1
- Ithaca, NY 14850-4229
Phone: (607) 351-1313
Mailing Address
- 1947 Dryden RD
- Freeville, NY 13068-9613
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1326374224
- Entity Type
- Individual
- Last Name
- Kendall
- First Name
- Lisa
- Middle Name
- Anne
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 1947 Dryden RD
- Mailing City
- Freeville
- Mailing State
- NY
- Mailing ZIP Code
- 13068-9613
- Mailing Country
- US
- Mailing Phone
- (607) 351-1313
- Practice Street Address
- 401 East State Street
- Practice Address Line 2
- Suite 400, Office #1
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4229
- Practice Country
- US
- Practice Phone
- (607) 351-1313
- Enumeration Date
- October 27, 2009
- Last Updated
- December 09, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)