Provider Demographics
NPI:1982447793
Name:WORKMAN, LISA M (PHD, LCSWA)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:PHD, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8122
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-1554
Mailing Address - Country:US
Mailing Address - Phone:980-272-1156
Mailing Address - Fax:
Practice Address - Street 1:4311 SCHOOL HOUSE CMNS # 140
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7510
Practice Address - Country:US
Practice Address - Phone:980-272-1156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0186141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical