Provider Demographics
NPI:1093820987
Name:WHIPPLE, LISA SUE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:SUE
Last Name:WHIPPLE
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 1:3507 DANCING DAISY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1750
Mailing Address - Country:US
Mailing Address - Phone:281-730-9733
Mailing Address - Fax:
Practice Address - Street 1:2116 THOMPSON RD STE 102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5415
Practice Address - Country:US
Practice Address - Phone:281-730-9733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS238301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical