Provider Demographics
NPI:1033497862
Name:HEMPHILL, LOVELL (LCSW)
Entity Type:Individual
Prefix:
First Name:LOVELL
Middle Name:
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12850 OLD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:BISHOPVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21813-1260
Mailing Address - Country:US
Mailing Address - Phone:443-235-1429
Mailing Address - Fax:
Practice Address - Street 1:1270 KINGS HWY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1735
Practice Address - Country:US
Practice Address - Phone:302-684-4950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2022-07-21
Deactivation Date:2017-03-13
Deactivation Code:
Reactivation Date:2017-09-18
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00010951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical