National Provider Identifier
Lisa Danielle Chisum, LCSW
Lisa Danielle Chisum, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Cheektowaga, NY and a listed phone number of (716) 783-0407.
Profile Overview
- NPI
- 1710911888
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- July 11, 2006
- Last Updated
- April 25, 2018
Practice Location
- 3719 Union RD Ste 122
- Cheektowaga, NY 14225-4250
Phone: (716) 783-0407
Mailing Address
- 525 Washington St
- Managed Care Department
- Buffalo, NY 14203-1711
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1710911888
- Entity Type
- Individual
- Last Name
- Chisum
- First Name
- Lisa
- Middle Name
- Danielle
- Credential
- LCSW
- Mailing Street Address
- 525 Washington St
- Mailing Address Line 2
- Managed Care Department
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1711
- Mailing Country
- US
- Mailing Phone
- (716) 856-4494
- Mailing Fax
- (716) 842-1277
- Practice Street Address
- 3719 Union RD Ste 122
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4250
- Practice Country
- US
- Practice Phone
- (716) 783-0407
- Enumeration Date
- July 11, 2006
- Last Updated
- April 25, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)
- Other Identifiers
- 00030241501 (NY, Univera), 5390701 (NY, Aetna)